South Orange County Wellness LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SOUTH ORANGE COUNTY WELLNESS LLC

Practice address

27123 Calle Arroyo Ste 2121
San Juan Capistrano, CA 92675-6785

Phone

(619) 592-3558

Fax

(949) 804-3072

NPI assigned

May 20, 2026

Last updated

May 22, 2026By 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

Mr. Michael Wayland Jordan Sr.

Title

Ceo

Phone

(619) 592-3558

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1779235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779408000000",
    "number": "1407786528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27123 CALLE ARROYO STE 2121",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926756785",
            "telephone_number": "619-592-3558",
            "fax_number": "949-804-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27123 CALLE ARROYO STE 2121",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926756785",
            "telephone_number": "619-592-3558",
            "fax_number": "949-804-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH ORANGE COUNTY WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-20",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WAYLAND",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-592-3558",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; 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.