Reflective Wellness LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

REFLECTIVE WELLNESS LLC

Practice address

22471 Aspan St Ste 290
Lake Forest, CA 92630-1655

Phone

(714) 813-6317

NPI assigned

Apr 29, 2025

Organization subpart

No

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

Authorized official

Name

Derek Walsh

Title

Coo

Phone

(949) 735-1576

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1745884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745884800000",
    "number": "1700674769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22471 ASPAN ST STE 290",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22471 ASPAN ST STE 290",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301655",
            "telephone_number": "714-813-6317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFLECTIVE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-29",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "949-735-1576"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.