Provider Demographics
NPI:1861979742
Name:CAMBIATI WELLNESS
Entity type:Organization
Organization Name:CAMBIATI WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:A
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:CNC
Authorized Official - Phone:925-478-4989
Mailing Address - Street 1:3446 MT DIABLO BLVD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-3912
Mailing Address - Country:US
Mailing Address - Phone:925-280-4442
Mailing Address - Fax:
Practice Address - Street 1:3446 MT. DIABLO BLVD.
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549-9454
Practice Address - Country:US
Practice Address - Phone:925-280-4442
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-24
Last Update Date:2018-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty