Provider Demographics
NPI:1912883133
Name:O & A WELLNESS GROUP, INC.
Entity type:Organization
Organization Name:O & A WELLNESS GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF CLINICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ABIOLA
Authorized Official - Middle Name:OLUFUNLAYO
Authorized Official - Last Name:OLADOKE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, MSHNFM, CLT
Authorized Official - Phone:805-867-7298
Mailing Address - Street 1:110 MARY AVENUE
Mailing Address - Street 2:SUITE 2-298
Mailing Address - City:NIPOMO
Mailing Address - State:CA
Mailing Address - Zip Code:93444
Mailing Address - Country:US
Mailing Address - Phone:805-867-7298
Mailing Address - Fax:
Practice Address - Street 1:1447 W GRAND AVE
Practice Address - Street 2:
Practice Address - City:GROVER BEACH
Practice Address - State:CA
Practice Address - Zip Code:93433-2250
Practice Address - Country:US
Practice Address - Phone:805-867-7298
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty
No133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Multi-Specialty
No172M00000XOther Service ProvidersMechanotherapistGroup - Multi-Specialty
No174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty
No175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty