NPIMap

Organization Active NPI

Harmony Wellness Clinic Inc

  • Nutrition Chiropractor
  • San Juan Capistrano, CA
National Provider Identifier
1104185313
Registry record updated Oct 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
Legal business name
HARMONY WELLNESS CLINIC INC
Practice address
30270 Rancho Viejo Rd
G
San Juan Capistrano, CA 92675-1556
Phone
(949) 545-6116
Fax
(949) 545-6117
NPI assigned
May 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kaisa McDonnall Coppola, D.C.
Title
Owner/Chiropractor
Phone
(949) 545-6116

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NN1001X Primary
Rehabilitation ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NR0400X

Addresses

Primary practice location

30270 Rancho Viejo Rd
G
San Juan Capistrano, CA 92675-1556

Mailing address

30270 Rancho Viejo Rd
G
San Juan Capistrano, CA 92675-1556
Phone (949) 545-6116

National Provider Directory

National Provider Directory

Locations

30270 Rancho Viejo Rd
Ste G
San Juan Capo, CA 92675
Phone (949) 545-6116

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539302400000",
    "number": "1104185313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30270 RANCHO VIEJO RD",
            "address_2": "G",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751556",
            "telephone_number": "949-545-6116",
            "fax_number": "949-545-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30270 RANCHO VIEJO RD",
            "address_2": "G",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751556",
            "telephone_number": "949-545-6116",
            "fax_number": "949-545-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARMONY WELLNESS CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-08",
        "last_updated": "2018-10-12",
        "status": "A",
        "authorized_official_last_name": "COPPOLA",
        "authorized_official_first_name": "KAISA",
        "authorized_official_middle_name": "MCDONNALL",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "949-545-6116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.