| Organization Name: | PROGRESSIVE HEALTH AND WELLNESS |
| NPI Number: | 1144268327 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PRAKASH K. BHATIA (PRESIDENT) |
| Mailing Address: | 161 E Main St Suite 102 El Cajon |
| State: | CA US |
| Postal Code: | 920203909 |
| Phone Number: | 6196310128 |
| Fax Number: | 6196310153 |
| NPI Enumeration Date: | 06/02/2006 |
| NPI Last Update Date: | 04/19/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |