Cascade Wellness Center Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CASCADE WELLNESS CENTER INC

Practice address

23412 Moulton Pkwy
#120
Laguna Hills, CA 92653-1732

Phone

(949) 829-6927

Fax

(949) 829-0221

NPI assigned

Dec 30, 2011

Organization subpart

No

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

Authorized official

Name

Maryam Assadi, D.C.

Title

Owner

Phone

(949) 829-6927

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433721600000",
    "number": "1619247160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23412 MOULTON PKWY",
            "address_2": "#120",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531732",
            "telephone_number": "949-829-6927",
            "fax_number": "949-829-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23412 MOULTON PKWY",
            "address_2": "#120",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531732",
            "telephone_number": "949-829-6927",
            "fax_number": "949-829-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-30",
        "last_updated": "2015-06-08",
        "status": "A",
        "authorized_official_last_name": "ASSADI",
        "authorized_official_first_name": "MARYAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-829-6927",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.