RESURGENCE CALIFORNIA LLC NPI 1316655269

NPI Information

  • NPI: 1316655269
  • Provider Name: RESURGENCE CALIFORNIA, LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 11851 WISTERIA AVE
    FOUNTAIN VALLEY, CA
    ZIP 92708
  • Phone: (888) 700-5053

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NPI Details

RESURGENCE CALIFORNIA, LLC is a mental health (including community mental health center) clinic center in Fountain Valley, CA. RESURGENCE CALIFORNIA, LLC NPI is 1316655269. The provider is registered as an organization entity type.

The provider's business location address is:

11851 WISTERIA AVE
FOUNTAIN VALLEY, CA
ZIP 92708-654
Phone: (888) 700-5053

The provider's authorized official is Camille Linares .
The authorized official title is Vp Of Compliance and has the following contact phone number (949) 933-2974.

The enumeration date for this NPI number is 11/9/2022 and was last updated on 11/9/2022.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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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