Provider Demographics
NPI:1396525887
Name:NATURE & SCIENCE MEDICINE NATUROPATHIC CLINIC, APC
Entity type:Organization
Organization Name:NATURE & SCIENCE MEDICINE NATUROPATHIC CLINIC, APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:NIKODEMAS
Authorized Official - Middle Name:SIMONAS
Authorized Official - Last Name:MCNULTY
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:858-800-2555
Mailing Address - Street 1:531 ENCINITAS BLVD STE 121
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-3773
Mailing Address - Country:US
Mailing Address - Phone:858-800-2555
Mailing Address - Fax:858-800-2555
Practice Address - Street 1:531 ENCINITAS BLVD STE 121
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-3773
Practice Address - Country:US
Practice Address - Phone:858-800-2555
Practice Address - Fax:858-800-2555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center