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NEW EXISTENCE NPI 1396247003


NPI Information

NPI: 1396247003
Provider Name: NEW EXISTENCE
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 05D2158372

Address:
3073 MADISON AVE
COSTA MESA, CA
ZIP 92626
Phone: (253) 653-2243
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NEW EXISTENCE is a substance abuse rehabilitation facility in Costa Mesa, 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. NEW EXISTENCE NPI is 1396247003. The provider is registered as an organization entity type.

The provider's business location address is:

3073 MADISON AVE
COSTA MESA, CA
ZIP 92626-823
Phone: (253) 653-2243

The provider's authorized official is Dylan Walker .
The authorized official title is Coo and has the following contact phone number (253) 653-2243.

The CLIA number assigned to this NPI record is 05D2158372 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/8/2018 and was last updated on 7/11/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation Facility300384BPCALIFORNIAYes

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: 4/28/2024

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