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ASPIRE365 CALIFORNIA LLC NPI 1477204493


NPI Information

NPI: 1477204493
Provider Name: ASPIRE365 CALIFORNIA LLC
Classification: Preventive Medicine - 2083A0300X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 46D2181239

Address:
501 GOLDEN RD
FALLBROOK, CA
ZIP 92028
Phone: (385) 352-9696
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ASPIRE365 CALIFORNIA LLC is an addiction medicine preventive medicine in Fallbrook, CA. The provider is a physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction. ASPIRE365 CALIFORNIA LLC NPI is 1477204493. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

501 GOLDEN RD
FALLBROOK, CA
ZIP 92028-451
Phone: (385) 352-9696
Fax: (385) 399-9070

The provider's authorized official is Zachary Jenson .
The authorized official title is Ceo and has the following contact phone number (801) 556-1977.

The CLIA number assigned to this NPI record is 46D2181239 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/11/2022 and was last updated on 3/20/2023.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2103TA0400XPsychologistAddiction (Substance Use Disorder)No
3163WA0400XRegistered NurseAddiction (Substance Use Disorder)No
42084A0401XPsychiatry & NeurologyAddiction MedicineNo
52083A0300XPreventive MedicineAddiction MedicineYes

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: 5/5/2024

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