Organization Active NPI

Wellness Clinic of Orange County Inc

  • Infusion Therapy Clinic/Center
  • Laguna Beach, CA
National Provider Identifier
1295212306
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
WELLNESS CLINIC OF ORANGE COUNTY INC
Practice address
31852 Coast Hwy Ste 400
Laguna Beach, CA 92651-6767
Phone
(949) 229-6782
Fax
(949) 499-7582
NPI assigned
Jul 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2018

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

Authorized official

Name
Michael P Bronson, MD
Title
President
Phone
(949) 600-7864

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X Primary

Addresses

Primary practice location

31852 Coast Hwy Ste 400
Laguna Beach, CA 92651-6767

Mailing address

31852 Coast Hwy Ste 400
Laguna Beach, CA 92651-6767
Phone (949) 229-6782

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532044800000",
    "number": "1295212306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31852 COAST HWY STE 400",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926516767",
            "telephone_number": "949-229-6782",
            "fax_number": "949-499-7582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31852 COAST HWY STE 400",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926516767",
            "telephone_number": "949-229-6782",
            "fax_number": "949-499-7582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS CLINIC OF ORANGE COUNTY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-20",
        "last_updated": "2018-07-20",
        "status": "A",
        "authorized_official_last_name": "BRONSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-600-7864",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.