PERSONALIZED LIFESTYLE MEDICINE CENTER
NPI 1306494588
Clinic/Center - Medical Specialty in Aliso Viejo, CA
- Organization
- Clinic/Center
- Medical Specialty
About PERSONALIZED LIFESTYLE MEDICINE CENTER
This page provides the complete NPI Profile along with additional information for Personalized Lifestyle Medicine Center, a provider established in Aliso Viejo, California operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1306494588 assigned on August 2019. The practitioner's primary taxonomy code is 261QM2500X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Personalized Lifestyle Medicine Center. The authorized official of this NPI record is Michelle Verdugo (Office Manager)
- NPI
- 1306494588 Verify this NPI
- Provider Legal Name
- PERSONALIZED MEDICINE, INC. A CALIFORNIA PROFESSIONAL MEDICAL CO
- Other Organization Name
- PERSONALIZED LIFESTYLE MEDICINE CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 25 ENTERPRISE STE 150 ALISO VIEJO, CA 92656
- Location Phone
- (949) 393-1882
- Mailing Address
- 25 ENTERPRISE # 150 ALISO VIEJO, CA 92656
- Mailing Phone
- (949) 939-1882
- Mailing Fax
- (949) 289-9797
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-30-2019
- Last Update Date
- 08-18-2022
- Code Navigator
Location Map
Secondary Locations
- 9770 44th Ave Ste 102
Gig Harbor, WA 98332
(858) 877-0305
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Medical Specialty
- Taxonomy Code
- 261QM2500X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306494588, enumerated as an "organization" on August 30, 2019.
The provider is located at 25 ENTERPRISE STE 150 ALISO VIEJO, CA 92656 and the phone number is (949) 393-1882.
Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.
