Healthcare Provider Details

I. General information

NPI: 1578474433
Provider Name (Legal Business Name): CHAUDHRI CENTER FOR WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21871 ONTUR
MISSION VIEJO CA
92692-1134
US

IV. Provider business mailing address

21871 ONTUR
MISSION VIEJO CA
92692-1134
US

V. Phone/Fax

Practice location:
  • Phone: 949-444-3850
  • Fax:
Mailing address:
  • Phone: 949-444-3850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. PRIYA CHAUDHRI
Title or Position: CEO/FOUNDER
Credential:
Phone: 858-695-4069