South Coast True Health Integrative Medicine

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SOUTH COAST TRUE HEALTH INTEGRATIVE MEDICINE

Practice address

4121 Westerly PL Ste 113
Newport Beach, CA 92660-2331

Phone

(949) 287-3408

NPI assigned

May 10, 2023

Last updated

May 10, 2023By 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

Jennifer Wetzel, LACNPI 1629402276

Title

Ceo

Phone

(714) 396-7100

Specialties & licenses 1

Addresses

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.

• Jennifer Wetzel, L.AC.

  • Acupuncturist
  • Fullerton, CA
  • NPI 1629402276
  NPD Authorized official

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1356031660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2271 W MALVERN AVE # 52",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928332106",
            "telephone_number": "714-396-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 WESTERLY PL STE 113",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602331",
            "telephone_number": "949-287-3408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COAST TRUE HEALTH INTEGRATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "WETZEL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-396-7100",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylie Allyson Sourinthone
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• South Coast Behavioral Health
• South Coast Behavioral Health
• South Coast Endocrinology Medical Corporation
• South County Sleep Solutions Corporation
• Southern California Center for Sexual Health and Survivorship Med
• Southern California Id Associates, Inc.
• Southern California Institute for Reproductive Sciences
• Southern California Kidney Associates Inc.

• Clinic/Center in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.