Organization · Type 2 NPI

Addiction Specialist of Southern California, Inc.

Adult Mental Health Clinic/Center · Newport Beach, CA

NPI number 1700626629 Active

Practice location

4000 Macarthur Blvd, Suite 600 East Tower
Newport Beach, CA 92660-2517

Fax (949) 627-8107

Mailing address

66 English Saddle
Irvine, CA 92602-1839

Specialties and licenses

TaxonomyCodeLicense
Adult Mental Health Clinic/Center Primary 261QM0850XNone listed
Adolescent and Children Mental Health Clinic/Center 261QM0855XNone listed
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405XNone listed

Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

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About NPI 1700626629

Addiction Specialist of Southern California, Inc.'s National Provider Identifier is 1700626629, issued on May 29, 2024. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Newport Beach, CA. The record was last updated on May 29, 2024.