Provider Demographics
NPI:1215581145
Name:WDOWIN NATUROPATHIC INC
Entity Type:Organization
Organization Name:WDOWIN NATUROPATHIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GARRETT
Authorized Official - Middle Name:
Authorized Official - Last Name:WDOWIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-933-6852
Mailing Address - Street 1:2121 E COAST HWY STE 210
Mailing Address - Street 2:
Mailing Address - City:CORONA DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92625-1934
Mailing Address - Country:US
Mailing Address - Phone:949-640-0096
Mailing Address - Fax:
Practice Address - Street 1:2121 E COAST HWY STE 210
Practice Address - Street 2:
Practice Address - City:CORONA DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92625-1934
Practice Address - Country:US
Practice Address - Phone:949-640-0096
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-29
Last Update Date:2019-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty