Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

San Pedro Healing Arts Medical Clinic Inc

Organization Professional Counselor · NPI 1538549563

San Pedro Healing Arts Medical Clinic Inc provides Professional Counselor services 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 Not confirmed with CMS for 11 years — call before visiting
Phone: (949) 427-1013
Show map & directions

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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