Organization
IMPACT HEALTH & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL ARAGON CMT (MANAGING DIRECTOR)
(949) 954-6225
Entity
Organization
Contact information
Practice address
2025 NEWPORT BLVD, SUITE 110, COSTA MESA, CA 92627-2162
(949) 954-6225
Mailing address
2025 NEWPORT BLVD, SUITE 110, COSTA MESA, CA 92627-2162
(949) 954-6225
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
CAMTC 20733
CA
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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