Personalized Medicine, Inc. a California Professional Medical Co

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

PERSONALIZED MEDICINE, INC. A CALIFORNIA PROFESSIONAL MEDICAL CO

Doing business as

Personalized Lifestyle Medicine Center

Practice address

25 Enterprise Ste 150
Aliso Viejo, CA 92656-2708

Phone

(949) 393-1882

NPI assigned

Aug 30, 2019

Last updated

Aug 18, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle Verdugo

Title

Office Manager

Phone

(949) 393-1882

Specialties & licenses 1

Addresses

Other names 1

• Personalized Lifestyle Medicine Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Howard Lerman, M.D.

  • Internal Medicine Physician
  • Gig Harbor, WA
  • NPI 1346473899
  NPD (past)

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1306494588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 ENTERPRISE # 150",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926562708",
            "telephone_number": "949-939-1882",
            "fax_number": "949-289-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 ENTERPRISE STE 150",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926562708",
            "telephone_number": "949-393-1882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9770 44th Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Gig Harbor",
            "state": "WA",
            "postal_code": "983328808",
            "country_code": "US",
            "telephone_number": "858-877-0305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PERSONALIZED MEDICINE, INC. A CALIFORNIA PROFESSIONAL MEDICAL CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-30",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "VERDUGO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "949-393-1882"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Personalized Lifestyle Medicine Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Personalized Lifestyle Medicine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Passages Recovery
• Kajol Patel
• Sajit J Patel, DMD
• David Christian Peirce, PHD
• Frederick Perez, RN, CEN, NP-C
• Apirada Petchpud, DDS
• Peter Jungwirth,M.D.,Inc
• Phaite Behavioral Health Care Services
• Elise Pham, DMD
• Peter Minh Phan, MD

• Medical Specialty Clinic/Center in Aliso Viejo, CA
• Providers in Aliso Viejo, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.