| NPI | 1588404560 |
|---|---|
| Doing Business As | ROOTED WELLNESS MD |
| Entity Type | Organization |
| Authorized Contact | VANESA AVILA Family Physician 323-599-1365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2024-05-28 |