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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