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General NPI Number Information
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NPI Number | 1255207130
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Entity Type | Organization
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Legal Business Name | ROOT CAUSE WELLNESS CENTER INC
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Dates
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Enumeration Date | 10/16/2025
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 24953 PASEO DE VALENCIA SUITE 10C
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City | LAGUNA HILLS
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State | CA
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Zip | 92653
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Country | US
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Telephone | 949-903-2288
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Fax |
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Provider Business Mailing Address
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Address Line | 24953 PASEO DE VALENCIA STE 10C
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-4345
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Country | US
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Telephone | 949-903-2288
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | NARGES FEIZABADI
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Credential |
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Telephone | 949-636-1858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 202D00000X
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Taxonomy Name | Integrative Medicine Physician
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License Number |
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License Number State |
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