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

La Vida Health & Wellness Center of Garden Grove

Organization Geriatric Physical Therapist · NPI 1619752292

La Vida Health & Wellness Center of Garden Grove is a Geriatric Physical Therapist in Garden Grove, California. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

12062 Valley View St Ste 108A
Garden Grove, CA 92845-1737
Phone: (805) 233-6419
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Physical Therapist (primary) Taxonomy 2251G0304X

Record details

NPI number1619752292
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jorge Perez De Tagle — Ceo · (310) 962-4808
NPI enumeratedAugust 30, 2023
Last updated in NPPESAugust 30, 2023
Certification dateAugust 30, 2023
Mailing address12062 Valley View St Ste 108a, Garden Grove, CA 92845-1737

Other providers in Garden Grove