OrganizationActive
Impact Health & Wellness LLC
NPI 1609159193 · Mechanotherapist · Costa Mesa, CA
Provider details
- NPI number
- 1609159193
- Entity type
- Organization
- Primary specialty
- MechanotherapistOther Service Providers
- Organization subpart
- No
- Authorized official
- Manuel Aragon, Managing Director(949) 954-6225
- License
- CAMTC 20733 (CA)
Specialties & taxonomies
Other Service Providers
Practice location
2025 Newport Blvd
Suite 110
Costa Mesa, CA 92627-2162
Phone: (949) 954-6225
Approximate (ZIP-level) locationGet directions
Mailing address
2025 Newport Blvd
Costa Mesa, CA 92627-2162
Registry dates
- Enumerated
- 2011-09-21
- Last updated
- 2011-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.