Provider Demographics
NPI:1154652162
Name:THE PLATEROTI CENTER FOR HOLISTIC WELLNESS
Entity Type:Organization
Organization Name:THE PLATEROTI CENTER FOR HOLISTIC WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARMELO
Authorized Official - Middle Name:A
Authorized Official - Last Name:PLATEROTI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:805-462-2262
Mailing Address - Street 1:6895 MORRO RD
Mailing Address - Street 2:
Mailing Address - City:ATASCADERO
Mailing Address - State:CA
Mailing Address - Zip Code:93422-4122
Mailing Address - Country:US
Mailing Address - Phone:805-462-2262
Mailing Address - Fax:805-462-2264
Practice Address - Street 1:6895 MORRO ROAD
Practice Address - Street 2:
Practice Address - City:ATASCADERO
Practice Address - State:CA
Practice Address - Zip Code:93422
Practice Address - Country:US
Practice Address - Phone:805-462-2262
Practice Address - Fax:805-462-2264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-15
Last Update Date:2010-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A62012083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Single Specialty