Whalio Doctors

NPI 1891217501

Backbay Health Center, LLC

Organisation Substance Use Disorder Rehabilitation Hospital Unit Costa Mesa, CA

Practice location

Address
2488 Newport Blvd STE a, Costa Mesa, CA 92627-5196
Phone
(805) 704-5705
Fax
(714) 886-2570

Authorised official

Name
Peter J. Muran
Title
Partner
Phone
(949) 434-0183

Registered specialties

Substance Use Disorder Rehabilitation Hospital Unit Primary
Hospital Units Taxonomy 276400000X Licence A43078 (CA)

Registry record

NPI
1891217501
Entity type
Organization
NPI issued
13 Jul 2017
Record last updated
21 Jul 2022

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.