Newport Coast Recovery

NPI 1003040445 - Substance Abuse Rehabilitation Facility - 324500000X

NPI Details
NPI 1003040445
Enumeration Date 05/13/2009
Last Updated 05/13/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name MICHAEL MICHAEL
Position MEDICAL DIRECTOR
Phone (949) 673-3097
Fax (949) 673-3098
Practice Location
1500 W BALBOA BLVD
SUITE 204
NEWPORT BEACH CA, 92663-4548, US
Phone (949) 673-3097
Fax (949) 673-3098
Business Location
1500 W BALBOA BLVD
SUITE 204
NEWPORT BEACH CA, 92663-4548, US
Phone (949) 673-3097
Fax (949) 673-3098
Toxanomy
Taxonomy Code 324500000X
License State California
License Number 300156AP
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According to our database, Newport Coast Recovery NPI is 1003040445, taxonomy code is 324500000X and license number is 300156AP, license state is located at California. Newport Coast Recovery physically located at 1500 W Balboa Blvd, Newport Beach CA, 92663-4548. NPI Number 1033115704 has the healthcare provider type.

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1003040445 NPI number is provided on an as is basis without warranty of any kind. 1003040445 is maintained by the National Plan & Provider Enumeration System. The contents of Newport Coast Recovery are for informational purposes only.