RESURGENCE CALIFORNIA LLC NPI 1003435033

NPI Information

  • NPI: 1003435033
  • Provider Name: RESURGENCE CALIFORNIA, LLC
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Address: 158 MARION BLVD
    FULLERTON, CA
    ZIP 92835
  • Phone: (949) 899-6003

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NPI Details

RESURGENCE CALIFORNIA, LLC is a substance abuse rehabilitation facility in Fullerton, 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. RESURGENCE CALIFORNIA, LLC NPI is 1003435033. The provider is registered as an organization entity type.

The provider's business location address is:

158 MARION BLVD
FULLERTON, CA
ZIP 92835-525
Phone: (949) 899-6003

The provider's authorized official is Tanisha Porreca .
The authorized official title is Coo and has the following contact phone number (888) 700-5053.

The enumeration date for this NPI number is 4/9/2020 and was last updated on 4/9/2020.

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 FacilityYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1300045FPOTHERCALIFORNIACA DHCS

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: 11/21/2025

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