Organization · Type 2 NPI

Transforming Life Outpatient Program, LLC

Substance Use Disorder Rehabilitation Clinic/Center · Placentia, CA

NPI number 1205493673 Active

Practice location

201 S Lakeview Ave Ste 249
Placentia, CA 92870-6710

Call (818) 590-0134 Map

Mailing address

5782 Ohio St
Yorba Linda, CA 92886-5321

Other practice locations

5782 Ohio St, Yorba Linda, CA 92886-5321 · (818) 590-0134

Specialties and licenses

Taxonomy	Code	License
Substance Use Disorder Rehabilitation Clinic/Center Primary	261QR0405X	None listed
Substance Abuse Rehabilitation Facility	324500000X	None listed

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

NPI record

NPI: 1205493673
Entity type: Organization (Type 2)
Issued: May 21, 2019
Last updated: Jul 15, 2021
Status: Active

Other names

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Transforming Life Center · doing business as
Transforming Life Residential Treatment Program · doing business as

Authorized official

Siamak Afshar
Program Director
(818) 590-0134

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1205493673

Transforming Life Outpatient Program, LLC's National Provider Identifier is 1205493673, issued on May 21, 2019. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Placentia, CA. The record was last updated on Jul 15, 2021.