| Reflective Wellness LLC | |
|
22471 Aspan St Ste 290 Lake Forest CA 92630-1655 | |
| (714) 813-6317 | |
| Not Available |
| Full Name | Reflective Wellness LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 22471 Aspan St Ste 290, Lake Forest, California |
| Authorized Official Name and Position | Derek Walsh (COO) |
| Authorized Official Contact | 9497351576 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reflective Wellness LLC 22471 Aspan St Ste 290 Lake Forest CA 92630-1655 | Reflective Wellness LLC 22471 Aspan St Ste 290 Lake Forest CA 92630-1655 Ph: (714) 813-6317 |
| NPI Number | 1700674769 |
|---|---|
| Provider Enumeration Date | 04/29/2025 |
| Last Update Date | 04/29/2025 |
| Certification Date | 04/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700674769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
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