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Organization
SOUTH ORANGE COUNTY WELLNESS LLC
Active
Organization
SOUTH ORANGE COUNTY WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL WAYLAND JORDAN SR. (CEO)
(619) 592-3558
Entity
Organization
Contact information
Practice address
27123 CALLE ARROYO STE 2121, SAN JUAN CAPISTRANO, CA 92675-6785
(619) 592-3558
(949) 804-3072
Mailing address
27123 CALLE ARROYO STE 2121, SAN JUAN CAPISTRANO, CA 92675-6785
(619) 592-3558
(949) 804-3072
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
05/20/2026
Last updated
05/22/2026
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