Soulphysio Lifestyle

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

SOULPHYSIO LIFESTYLE

Practice address

17805 Sky Park Cir Ste F
Irvine, CA 92614-6108

Phone

(949) 418-7956

NPI assigned

Aug 20, 2021

Organization subpart

No

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

Authorized official

Name

Aneesh Chaudhry

Title

Owner

Phone

(949) 418-7956

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630022400000",
    "number": "1710653589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17805 SKY PARK CIR STE F",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146108",
            "telephone_number": "949-418-7956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17805 SKY PARK CIR STE F",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146108",
            "telephone_number": "949-418-7956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULPHYSIO LIFESTYLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A",
        "authorized_official_last_name": "CHAUDHRY",
        "authorized_official_first_name": "ANEESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-418-7956"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonio Soto
• Martha Elizabeth Soto
• Narai Soto
• Veronica Soto, RPA-C
• Nicole Ayn Soulliere
• Soulstice Marriage and Family Therapy Professional Corporation
• Megan Soun
• Sound Waves Speech Therapy, P.C.
• Soung Hoon Cho DDS. Inc
• Source One Medical Inc

• Multi-Specialty Clinic/Center in Irvine, CA
• Providers in Irvine, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.