Healthcare Provider Details

I. General information

NPI: 1699692343
Provider Name (Legal Business Name): INSIGHT WELLNESS CENTER COLLECTIVE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12321 MAGNOLIA AVE STE E
RIVERSIDE CA
92503-4706
US

IV. Provider business mailing address

12321 MAGNOLIA AVE STE E
RIVERSIDE CA
92503-4706
US

V. Phone/Fax

Practice location:
  • Phone: 714-681-0052
  • Fax:
Mailing address:
  • Phone: 714-681-0052
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: CASAMAYOR MURIEL
Title or Position: CLINICAL DIRECTOR
Credential:
Phone: 714-681-0052