VIVARA WELLNESS NPI 1265312532

NPI Information

  • NPI: 1265312532
  • Provider Name: VIVARA WELLNESS
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Address: 2 LAVANDA ST
    RANCHO MISSION VIEJO, CA
    ZIP 92694
  • Phone: (805) 636-6387

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NPI Details

VIVARA WELLNESS is a medical specialty clinic center in Rancho Mission Viejo, CA. The provider is 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). VIVARA WELLNESS NPI is 1265312532. The provider is registered as an organization entity type.

The provider's business location address is:

2 LAVANDA ST
RANCHO MISSION VIEJO, CA
ZIP 92694-826
Phone: (805) 636-6387

The provider's authorized official is Lila Abassi-shum .
The authorized official title is Ceo and has the following contact phone number (805) 636-6387.

The enumeration date for this NPI number is 9/5/2025 and was last updated on 9/5/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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