GLOBAL NUTRACEUTICALS, INC (NPI# 1629345590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629345590 |
| Entity Type | Organization |
| Organization Name | GLOBAL NUTRACEUTICALS, INC |
| Practice Address |
140 Avenida Algodon Unit B San Clemente CA 92672-4182 |
| Practice Telephone | 9493660432 |
| Practice Fax Number | 9495427020 |
| Mailing Telephone | 9493660432 |
| Mailing Fax Number | 9495427020 |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2011-11-21 |
| Authorized Official Name | DR. WILLA LILLY (OWNER) |
| Authorized Official Telephone | 9493660432 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
20A4676 | CA | Ambulatory Health Care Facilities |
| Street Address |
140 AVENIDA ALGODON UNIT B |
| City | SAN CLEMENTE |
| State | CA |
| Zip Code | 92672-4182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275783755 | Willa Lilly Brinkley | General Practice | 140 Avenida Algodon, San Clemente, CA 92672-4182 | 2008-09-22 |
| 1174157358 | Jennifer Lynn Devore | Marriage & Family Therapist | 140 Avenida Algodon, San Clemente, CA 92672-4182 | 2020-02-26 |
| 1922531359 | Stone River Group | Substance Abuse Rehabilitation Facility | 140 Avenida Algodon, Unit A, San Clemente, CA 92672-4182 | 2017-04-03 |
| 1568830081 | First Light Recovery | Substance Abuse Rehabilitation Facility | 140 Avenida Algodon, San Clemente, CA 92627 | 2015-09-15 |
| 1154627925 | Physician Nutraceutical Research, Inc | Substance Abuse Rehabilitation Facility | 140 Avenida Algodon, #a, B & C, San Clemente, CA 92672-4182 | 2011-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355234 | Julie Case | Massage Therapist | 205 Via Presa, I Do Not Work From Home- I Am A Contractor, San Clemente, CA 92672 | 2020-10-30 |
| 1396213971 | Kirtney So Lim | Military Health Care Provider | 62 Area San Mateo Naval Clinic, Camp Pendleton, CA 92672 | 2018-11-13 |
| 1407322258 | Lodie Ikeda | Non-emergency Medical Transport (VAN) | 119 Avenida Dolores B, San Clemente, CA 92672 | 2018-10-19 |
| 1629566245 | I-ting Wang | Counselor | 3551 Camino Mira Costa San Clemente, Suite T, San Clemente, CA 92672 | 2018-04-30 |
| 1174046874 | Russell Thompson Chiropractic Inc | Clinic/Center | 629 Camino De Los Mares, Ste. 104, San Clemente, CA 92672 | 2017-07-25 |
| 1518320415 | Addiction Health Alliance LLC | Clinical Medical Laboratory | 605 Avenida Las Flores, San Clemente, CA 92672 | 2016-03-30 |
| 1871961342 | Paul Van Zeumeren | Marriage & Family Therapist | 2715 Calle Del Comercio, Unit C, San Clemente, CA 92672 | 2015-09-14 |
| 1194043596 | Sima Moayed | Pharmacist | 801 N. Elcamino Real, San Clemente, CA 92672 | 2010-05-10 |
| 1942539432 | Martha Elena Hall | Acupuncturist | 131 W. El Portal, San Clemente, CA 92672 | 2009-12-14 |
| 1922334515 | Katie B Mann | Social Worker | 1401 N. El Camino Real, #100, San Clemente, CA 92672 | 2009-11-02 |
| Find all providers in zip 92672 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144551052 | Shreya Health of California | Clinic/Center | 1201 Puerta Del Sol Ste 224, San Clemente, CA 92673-6310 | 2010-01-18 |
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| Find all providers with the same taxonomy | ||||
| City | SAN CLEMENTE |
| Zip Code | 92672 |
Please comment or provide details below to improve the information on GLOBAL NUTRACEUTICALS, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.