Mahal Earth Wellness Center

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

A23497 Issued in CA

Legal business name

MAHAL EARTH WELLNESS CENTER

Practice address

1054 E Grand Ave Ste C
Arroyo Grande, CA 93420-2527

Phone

(805) 904-6234

Fax

(805) 904-6234

NPI assigned

Apr 12, 2017

Organization subpart

Yes

Parent organization

MAHAL EARTH WELLNESS CENTERAs reported in NPPES

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

Authorized official

Name

Dr. Maria Theresa Rosen

Title

President

Phone

(805) 264-2969

Specialties & licenses 1

Addresses

Other names 1

• Rosen MD Treatment Center Doing business as

Part of

Mahal Earth Wellness Center

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491955200000",
    "number": "1891229282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1054 E GRAND AVE STE C",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934202527",
            "telephone_number": "805-904-6234",
            "fax_number": "805-904-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 E GRAND AVE STE C",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934202527",
            "telephone_number": "805-904-6234",
            "fax_number": "805-904-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHAL EARTH WELLNESS CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAHAL EARTH WELLNESS CENTER",
        "enumeration_date": "2017-04-12",
        "last_updated": "2017-04-12",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "MARIA THERESA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-264-2969",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "CA",
            "license": "A23497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosen MD Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alison Loria
• Marie Loughead, DH
• Lucia Mar Unified School District
• Ronald Lugolole, PHARMD, RPH
• Emily Jean Maddox, LPCC #374
• Reshma Mahmood, MD
• Lori Mallory, RDH
• David Michael Malouf, OD
• Paul Malouf, LMFT
• Marisol Mariscal, LMFT

• All providers in Arroyo Grande, CA
• Pain Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; 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.