LIDO WELLNESS CENTER NPI 1477056166

NPI Information

  • NPI: 1477056166
  • Provider Name: LIDO WELLNESS CENTER
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 3404 VIA LIDO
    NEWPORT BEACH, CA
    ZIP 92663
  • Phone: (949) 633-2821

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NPI Details

LIDO WELLNESS CENTER is an adult mental health clinic center in Newport Beach, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. LIDO WELLNESS CENTER NPI is 1477056166. The provider is registered as an organization entity type.

The provider's business location address is:

3404 VIA LIDO
NEWPORT BEACH, CA
ZIP 92663-968
Phone: (949) 633-2821

The provider's authorized official is Collin Weeden .
The authorized official title is Ceo and has the following contact phone number (949) 633-2821.

The enumeration date for this NPI number is 3/9/2018 and was last updated on 3/9/2018.

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
1261QM0850XClinic/CenterAdult Mental HealthCALIFORNIAYes

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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