PERSONALIZED LIFESTYLE MEDICINE CENTER
NPI 1306494588
Clinic/Center - Medical Specialty in Aliso Viejo, CA

Q: What is Personalized Medicine, Inc. A California Professional Medical Co's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since August 30, 2019

25 ENTERPRISE STE 150, ALISO VIEJO, CA 92656(949) 393-1882 Get Directions Write a Review

NPPES record last updated: August 18, 2022. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Aug 18, 2022, Jun 22, 2021, Dec 16, 2019 and 1 more (4 updates tracked since 2019).

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About Personalized Lifestyle Medicine Center NPPES

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

PERSONALIZED LIFESTYLE MEDICINE CENTER (NPI 1306494588) is a healthcare organization registered as a medical specialty in Aliso Viejo, California and active in the NPI registry since August 2019. The organization maintains a secondary practice location in Gig Harbor and lists Michelle Verdugo, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1306494588

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NamePERSONALIZED MEDICINE, INC. A CALIFORNIA PROFESSIONAL MEDICAL CO

Location Address25 ENTERPRISE STE 150Aliso Viejo, CA 92656-2708

Mailing Address25 Enterprise # 150Aliso Viejo, CA 92656-2708 · (949) 939-1882 · Fax (949) 289-9797

Phone(949) 393-1882

Organization SubpartNo

Authorized OfficialMichelle VerdugoOffice Manager · (949) 393-1882

Enumeration DateAugust 30, 2019

Last NPPES UpdateAugust 18, 20224 updates tracked since enumeration

NPPES CertifiedAugust 18, 2022

✔ NPI 1306494588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

Definition

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).

25 ENTERPRISE STE 150, Aliso Viejo, CA 92656

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Other Names 1

Doing Business AsPersonalized Lifestyle Medicine Center

Secondary Practice Location 1

Location 19770 44th Ave Ste 102Gig Harbor, WA 98332-8808 · Phone (858) 877-0305

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 Personalized Medicine, Inc. A California Professional Medical Co's NPI number?

The NPI number for Personalized Medicine, Inc. A California Professional Medical Co is 1306494588. It was assigned to this organization in the NPPES registry on August 30, 2019. The provider is doing business as Personalized Lifestyle Medicine Center.

Where is Personalized Medicine, Inc. A California Professional Medical Co located?

Personalized Medicine, Inc. A California Professional Medical Co is located at 25 Enterprise Ste 150, Aliso Viejo, CA 92656. The listed phone number is (949) 393-1882.

What is Personalized Medicine, Inc. A California Professional Medical Co's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Personalized Medicine, Inc. A California Professional Medical Co was last updated on August 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.