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LA VIDA HEALTH & WELLNESS CENTER OF GARDEN GROVE
NPI 1619752292
Physical Therapist - Geriatrics in Garden Grove, CA

Active since August 30, 2023
12062 VALLEY VIEW ST STE 108A, GARDEN GROVE, CA 92845(805) 233-6419 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About La Vida Health & Wellness Center Of Garden Grove NPPES

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

LA VIDA HEALTH & WELLNESS CENTER OF GARDEN GROVE (NPI 1619752292) is a healthcare organization registered as a geriatrics in Garden Grove, California and active in the NPI registry since August 2023. The organization lists Jorge Perez De Tagle, Ceo, as its authorized official.

NPPES Registry Identity

NPI1619752292
Entity TypeOrganization
Primary Taxonomy2251G0304X
Legal Business NameLA VIDA HEALTH & WELLNESS CENTER OF GARDEN GROVE
Location Address12062 VALLEY VIEW ST STE 108AGarden Grove, CA 92845-1737
Mailing Address12062 Valley View St Ste 108aGarden Grove, CA 92845-1737 · (805) 233-6419
Phone(805) 233-6419
Organization SubpartNo
Authorized OfficialJorge Perez De TagleCeo · (310) 962-4808
Enumeration DateAugust 30, 2023
NPPES CertifiedAugust 30, 2023
✔ NPI 1619752292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251G0304X
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.
12062 VALLEY VIEW ST STE 108A, Garden Grove, CA 92845
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 La Vida Health & Wellness Center Of Garden Grove's NPI number?

The NPI number for La Vida Health & Wellness Center Of Garden Grove is 1619752292. It was assigned to this organization in the NPPES registry on August 30, 2023.

Where is La Vida Health & Wellness Center Of Garden Grove located?

La Vida Health & Wellness Center Of Garden Grove is located at 12062 Valley View St Ste 108A, Garden Grove, CA 92845. The listed phone number is (805) 233-6419.

What is La Vida Health & Wellness Center Of Garden Grove's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

When was this NPI record last updated?

The NPPES record for La Vida Health & Wellness Center Of Garden Grove was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.