# VIVARA WELLNESS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265312532
- **Authorized official:** DR. LILA ABASSI-SHUM MD (CEO)
- **Authorized official phone:** (805) 636-6387

## Contact information

- **Practice address:** 2 LAVANDA ST, RANCHO MISSION VIEJO, CA 92694-1826
- **Practice address phone:** (805) 636-6387
- **Mailing address:** 2 LAVANDA ST, RANCHO MISSION VIEJO, CA 92694-1826
- **Mailing address phone:** (805) 636-6387

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 09/05/2025
- **Last updated:** 09/05/2025