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

San Pedro Healing Arts Medical Clinic Inc

Organization Professional Counselor · NPI 1538549563

San Pedro Healing Arts Medical Clinic Inc is a Professional Counselor in Lake Forest, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

22706 Aspan St Ste 702
Lake Forest, CA 92630-1603
Phone: (949) 427-1013
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence PCCI 1592 (CA)

Record details

NPI number1538549563
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Fiamengo — Executive Director · (310) 547-2197
NPI enumeratedJune 4, 2015
Last updated in NPPESJune 4, 2015
Mailing address1366 W 7th St, Suite 4b, San Pedro, CA 90732-3500

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