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SURF CITY SOLUTIONS LLC NPI 1366985889


NPI Information

NPI: 1366985889
Provider Name: SURF CITY SOLUTIONS LLC

Doing Business As: SUBLIME WELLNESS CENTER

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
2414 S FAIRVIEW ST STE 215
SANTA ANA, CA
ZIP 92704
Phone: (657) 342-0265
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SURF CITY SOLUTIONS LLC is a rehabilitation and substance use disorder clinic center in Santa Ana, CA. SURF CITY SOLUTIONS LLC NPI is 1366985889. The provider is registered as an organization entity type.
The provider Is Doing Business As Sublime Wellness Center.

The provider's business location address is:

2414 S FAIRVIEW ST STE 215
SANTA ANA, CA
ZIP 92704-318
Phone: (657) 342-0265
Fax: (714) 398-8822

The provider's authorized official is Michael Richard Priesing .
The authorized official title is Owner and has the following contact phone number (657) 342-0265.

The enumeration date for this NPI number is 12/1/2016 and was last updated on 9/12/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0850XClinic/CenterAdult Mental HealthNo
2324500000XSubstance Abuse Rehabilitation Facility300035APCALIFORNIANo
3261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1300035APOTHERCALIFORNIADEPARTMENT OF HEALTHCARE SERVICES
2616832OTHERCALIFORNIATHE JOINT COMMISSION BEHAVIORAL HEALTH ACCREDIDATION PROGRAM

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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