Provider Demographics
NPI:1437796430
Name:CORE INTEGRATIVE AND NATUROPATHIC MEDICAL CENTER
Entity Type:Organization
Organization Name:CORE INTEGRATIVE AND NATUROPATHIC MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PREETI
Authorized Official - Middle Name:
Authorized Official - Last Name:KULKARNI
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:669-248-3959
Mailing Address - Street 1:333 W EL CAMINO REAL STE 265
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-8127
Mailing Address - Country:US
Mailing Address - Phone:669-248-3959
Mailing Address - Fax:408-663-5105
Practice Address - Street 1:333 W EL CAMINO REAL STE 265
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-8127
Practice Address - Country:US
Practice Address - Phone:669-248-3959
Practice Address - Fax:408-663-5105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-09
Last Update Date:2020-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical SpecialtyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1083939292Medicaid