Prowellness

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

26213 Issued in CA

Legal business name

PROWELLNESS

Practice address

350 Reservation Rd
Marina, CA 93933-3264

Phone

(831) 359-4239

Fax

(831) 582-9753

NPI assigned

Apr 12, 2010

Last updated

Apr 12, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joohwan Ko, D.C.NPI 1710192885

Title

Owner

Phone

(831) 359-4239

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joohwan Ko, D.C.

  • Chiropractor
  • Salinas, CA
  • NPI 1710192885
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271030400000",
    "number": "1023334414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 RESERVATION RD",
            "city": "MARINA",
            "state": "CA",
            "postal_code": "939333264",
            "telephone_number": "831-359-4239",
            "fax_number": "831-582-9753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 RESERVATION RD",
            "city": "MARINA",
            "state": "CA",
            "postal_code": "939333264",
            "telephone_number": "831-359-4239",
            "fax_number": "831-582-9753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROWELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-12",
        "last_updated": "2010-04-12",
        "status": "A",
        "authorized_official_last_name": "KO",
        "authorized_official_first_name": "JOOHWAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-359-4239",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "26213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawanda Lynette Petty
• Philip H Wolff DDS
• Jay Tully Pinkos, DO
• David Pirochta
• James J. Potter, RBT
• Estefani Puga
• Ashlynn M Quirie
• Karina Ramires
• Marlene Ramirez
• Brittany Randolph

• Chiropractor in Marina, CA
• Providers in Marina, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.