NEWPORT COAST RECOVERY NPI 1003040445

NPI Information

  • NPI: 1003040445
  • Provider Name: NEWPORT COAST RECOVERY
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Address: 1500 W BALBOA BLVD
    SUITE 204
    NEWPORT BEACH, CA
    ZIP 92663
  • Phone: (949) 673-3097

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NPI Details

NEWPORT COAST RECOVERY is a substance abuse rehabilitation facility in Newport Beach, CA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. NEWPORT COAST RECOVERY NPI is 1003040445. The provider is registered as an organization entity type.

The provider's business location address is:

1500 W BALBOA BLVD
SUITE 204
NEWPORT BEACH, CA
ZIP 92663-548
Phone: (949) 673-3097
Fax: (949) 673-3098

The provider's authorized official is Michael Rudolph .
The authorized official title is Medical Director and has the following contact phone number (949) 673-3097.

The enumeration date for this NPI number is 5/13/2009 and was last updated on 5/13/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation Facility300156APCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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