Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Immersive Wellness Centers, LLC

Organization Substance Use Disorder Rehabilitation Clinic/Center · NPI 1104408780

Immersive Wellness Centers, LLC is a Substance Use Disorder Rehabilitation Clinic/Center in San Clemente, California. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

120 Cristianitos Rd Unit 14207
San Clemente, CA 92673
Phone: (619) 871-7345
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X

Record details

NPI number1104408780
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angela McMahon — Coo · (619) 871-7345
Other names Immersive Wellness Centers
NPI enumeratedApril 23, 2021
Last updated in NPPESApril 23, 2021
Certification dateMarch 30, 2021
Mailing address34145 Pacific Coast Hwy # 728, Dana Point, CA 92629-2808

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