# PERSONALIZED MEDICINE, INC. A CALIFORNIA PROFESSIONAL MEDICAL CO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Personalized Lifestyle Medicine Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306494588
- **Authorized official:** MICHELLE VERDUGO (OFFICE MANAGER)
- **Authorized official phone:** (949) 393-1882

## Contact information

- **Practice address:** 25 ENTERPRISE STE 150, ALISO VIEJO, CA 92656-2708
- **Practice address phone:** (949) 393-1882
- **Mailing address:** 25 ENTERPRISE \# 150, ALISO VIEJO, CA 92656-2708
- **Mailing address phone:** (949) 939-1882
- **Mailing address fax:** (949) 289-9797

## Taxonomy

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

## Other

- **Enumeration date:** 08/30/2019
- **Last updated:** 08/18/2022