Organization
VIVARA WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LILA ABASSI-SHUM MD (CEO)
(805) 636-6387
Entity
Organization
Contact information
Practice address
2 LAVANDA ST, RANCHO MISSION VIEJO, CA 92694-1826
(805) 636-6387
Mailing address
2 LAVANDA ST, RANCHO MISSION VIEJO, CA 92694-1826
(805) 636-6387
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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