Organization
WHOLE FITNESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL R RUSSO MS, CPSS (CEO)
(808) 987-1511
Entity
Organization
Contact information
Practice address
17982 LUCERO WAY, TUSTIN, CA 92780-2624
(808) 987-1151
Mailing address
17982 LUCERO WAY, TUSTIN, CA 92780-2624
(808) 987-1151
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/19/2025
Last updated
09/11/2025
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