Dynamic Health and Wellness Inc a Professional Medical Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A99906 Issued in CA

Legal business name

DYNAMIC HEALTH AND WELLNESS INC A PROFESSIONAL MEDICAL CORPORATION

Practice address

441 Colusa Ave
Suite B
Yuba City, CA 95991-4143

Phone

(530) 329-8462

Fax

(530) 329-8545

NPI assigned

May 8, 2013

Last updated

Sep 25, 2013By 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

Dr. Tanya Brown Randhawa, M.D.

Title

Owner

Phone

(530) 680-8306

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1942645502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 COLUSA AVE",
            "address_2": "SUITE B",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959914143",
            "telephone_number": "530-329-8462",
            "fax_number": "530-329-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 COLUSA AVE",
            "address_2": "SUITE B",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959914143",
            "telephone_number": "530-329-8462",
            "fax_number": "530-329-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC HEALTH AND WELLNESS INC A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-08",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "RANDHAWA",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "BROWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-680-8306",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G31686",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A99906",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G87823",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariston Johann Lee Dumaran, RN
• Prince Ryan Madrigal Dumaran, RN
• Traci Dunlap
• Deven Dunlop, PHARMD
• Georgina V Duran, LCSW
• E Center
• Robert Eckerman
• Leon Melvin Edelstein, M.D.
• David Michael-Delorne Edwards
• Jeremy Kiyoshi Aoki Edwards, O.D.

• Internal Medicine Physician in Yuba City, CA
• Providers in Yuba City, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.