IMMERSIVE WELLNESS CENTERS, LLC
NPI 1104408780
Clinic/Center - Rehabilitation, Substance Use Disorder in San Clemente, CA

Q: What is Immersive Wellness Centers, LLC's NPI number?

The NPI number for Immersive Wellness Centers, LLC is 1104408780. It was assigned to this organization in the NPPES registry on April 23, 2021. The provider is doing business as Immersive Wellness Centers.

Q: What is Immersive Wellness Centers, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Active since April 23, 2021

120 CRISTIANITOS ROAD, UNIT 14207, SAN CLEMENTE, CA 92673(619) 871-7345 Get Directions Write a Review

NPPES record last updated: April 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Immersive Wellness Centers, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMMERSIVE WELLNESS CENTERS, LLC (NPI 1104408780), doing business as Immersive Wellness Centers, is a healthcare organization registered as a rehabilitation, substance use disorder in San Clemente, California and active in the NPI registry since April 2021. The organization lists Angela Mcmahon, Coo, as its authorized official.

NPPES Registry Identity

NPI1104408780

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NameIMMERSIVE WELLNESS CENTERS, LLC

Location Address120 CRISTIANITOS ROAD, UNIT 14207San Clemente, CA 92673

Mailing Address34145 Pacific Coast Hwy # 728Dana Point, CA 92629-2808 · (619) 871-7345

Phone(619) 871-7345

Organization SubpartNo

Authorized OfficialAngela McmahonCoo · (619) 871-7345

Enumeration DateApril 23, 2021

NPPES CertifiedMarch 30, 2021

✔ NPI 1104408780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities

Taxonomy Code261QR0405X

120 CRISTIANITOS ROAD, San Clemente, CA 92673

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Other Names 1

Doing Business AsImmersive Wellness Centers

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Immersive Wellness Centers, LLC's NPI number?

The NPI number for Immersive Wellness Centers, LLC is 1104408780. It was assigned to this organization in the NPPES registry on April 23, 2021. The provider is doing business as Immersive Wellness Centers.

Where is Immersive Wellness Centers, LLC located?

Immersive Wellness Centers, LLC is located at 120 Cristianitos Road Unit 14207, San Clemente, CA 92673. The listed phone number is (619) 871-7345.

What is Immersive Wellness Centers, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Immersive Wellness Centers, LLC was last updated on April 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.