Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Innovative Wellness Clinic, Inc , a Nursing Corporation

Organization Family Medicine Physician · NPI 1316535776

Innovative Wellness Clinic, Inc , a Nursing Corporation is a Family Medicine Physician in Spring Valley, California. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10225 Austin Dr Ste 105
Spring Valley, CA 91978-1521
Phone: (858) 648-0755
Fax: (534) 429-4287
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1316535776
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Danielle Gordon — Primary Care Provider · (858) 648-0755
Other names Iwc Primary Care
NPI enumeratedDecember 31, 2020
Last updated in NPPESJanuary 31, 2024
Certification dateJanuary 31, 2024
Mailing address750 Otay Lakes Rd # 111, Chula Vista, CA 91910-6915

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