| Organization Name: | 2GORJIS INTEGRATED HEALTH & WELLNESS |
| NPI Number: | 1104150358 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KIM EVANS (OWNER) |
| Mailing Address: | 81 Gregory Ln Ste 210 Pleasant Hill |
| State: | CA US |
| Postal Code: | 945234922 |
| Phone Number: | 9259328602 |
| Fax Number: | |
| NPI Enumeration Date: | 09/21/2009 |
| NPI Last Update Date: | 03/21/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133NN1002X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Nutritionist |
| Taxonomy Specialization: | Nutrition, Education |
| Taxonomy Definition: | |