Active NPI
Wonderful Wellness LLC
- Clinic/Center
- Woodland, CA
National Provider Identifier
1811489701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- WONDERFUL WELLNESS LLC
- Practice address
- 155 Main St
Woodland, CA 95695-3125 - Phone
- (530) 650-8119
- Fax
- (530) 650-8283
- NPI assigned
- Jun 6, 2018
- Last updated
- Jun 6, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Xin Gao
- Title
- Ceo
- Phone
- (530) 650-8119
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
155 Main St
Woodland, CA 95695-3125
Mailing address
155 Main St
Woodland, CA 95695-3125
Phone (530) 650-8119
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1528243200000",
"number": "1811489701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 MAIN ST",
"city": "WOODLAND",
"state": "CA",
"postal_code": "956953125",
"telephone_number": "530-650-8119",
"fax_number": "530-650-8283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 MAIN ST",
"city": "WOODLAND",
"state": "CA",
"postal_code": "956953125",
"telephone_number": "530-650-8119",
"fax_number": "530-650-8283"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WONDERFUL WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-06",
"last_updated": "2018-06-06",
"status": "A",
"authorized_official_last_name": "GAO",
"authorized_official_first_name": "XIN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "530-650-8119",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.