Positive Healthy Aging, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A85461 Issued in CA

Legal business name

POSITIVE HEALTHY AGING, INC.

Practice address

23521 Paseo de Valencia
Suite 311
Laguna Hills, CA 92653-3107

Phone

(949) 305-2660

Fax

(949) 305-2036

NPI assigned

Feb 27, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Roger Tran

Title

President

Phone

(949) 305-2660

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393459200000",
    "number": "1881019818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23521 PASEO DE VALENCIA",
            "address_2": "SUITE 311",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533107",
            "telephone_number": "949-305-2660",
            "fax_number": "949-305-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23521 PASEO DE VALENCIA",
            "address_2": "SUITE 311",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533107",
            "telephone_number": "949-305-2660",
            "fax_number": "949-305-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE HEALTHY AGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-27",
        "last_updated": "2014-02-27",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-305-2660",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A85461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Polidoro
• Mary Elizabeth Pongetti, DPT
• Alrea Jasmine Malinao Pontanares, RBT
• Shahrokh Poormehr, DO
• Amalia Stephany Porcel
• Heather Marie Potter, DPT
• Susan L. Potts, PH.D
• Steven Poulos, D. C.
• Amir Abbas Pouradib, M.D.
• Pourahmad-Haghighi Dental Corporation (Complete Dentistry of Laguna Hills)

• Family Medicine Physician in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.