NPI 1144873308

Resurgence California, LLC

Organisation Physical Disabilities Residential Treatment Facility Costa Mesa, CA

Practice location

Address: 3129 Pierce Ave, Costa Mesa, CA 92626-2827
Phone: (888) 700-5053
Fax: (949) 209-5490
Mailing address: 3151 Airway Ave STE E1, Costa Mesa, CA 92626-4620

Authorised official

Name: Tanisha Porreca
Title: Coo
Phone: (888) 700-5053

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X

Other Residential Treatment Facility, Physical Disabilities providers in California →

Registry record

NPI: 1144873308
Entity type: Organization
NPI issued: 17 Jul 2019
Record last updated: 17 Jul 2019

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.