Provider Demographics
NPI:1023760949
Name:WORLD OF WELLNESS, HEALING CARE
Entity type:Organization
Organization Name:WORLD OF WELLNESS, HEALING CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TINA
Authorized Official - Middle Name:F
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:619-227-8774
Mailing Address - Street 1:2125 S EL CAMINO REAL STE 200
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92054-6260
Mailing Address - Country:US
Mailing Address - Phone:670-425-4466
Mailing Address - Fax:760-575-7272
Practice Address - Street 1:2125 S EL CAMINO REAL STE 200
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-6260
Practice Address - Country:US
Practice Address - Phone:670-425-4466
Practice Address - Fax:760-575-7272
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TINA FORTHUN EDWARDS MD INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-01-21
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty