NPI 1003040445

Newport Coast Recovery

Organisation Substance Abuse Rehabilitation Facility Newport Beach, CA

Practice location

Address: 1500 W Balboa Blvd Suite 204, Newport Beach, CA 92663-4548
Phone: (949) 673-3097
Fax: (949) 673-3098

Authorised official

Name: Michael Rudolph
Title: Medical Director
Phone: (949) 673-3097

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence 300156AP (CA)

Other Substance Abuse Rehabilitation Facility providers in California →

Registry record

NPI: 1003040445
Entity type: Organization
NPI issued: 13 May 2009
Record last updated: 13 May 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.