PHOENIX HOUSE ORANGE COUNTY INC. NPI 1427811389

NPI Information

  • NPI: 1427811389
  • Provider Name: PHOENIX HOUSE ORANGE COUNTY, INC.
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • CLIA Number: 05D2285399
  • Address: 13333 PALMDALE RD
    VICTORVILLE, CA
    ZIP 92392
  • Phone: (760) 487-3600

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NPI Details

PHOENIX HOUSE ORANGE COUNTY, INC. is a substance abuse rehabilitation facility in Victorville, 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. PHOENIX HOUSE ORANGE COUNTY, INC. NPI is 1427811389. The provider is registered as an organization entity type.

The provider's business location address is:

13333 PALMDALE RD
VICTORVILLE, CA
ZIP 92392-364
Phone: (760) 487-3600

The provider's authorized official is Maja Trochimczyk .
The authorized official title is Senior Director Of Planning & Devel and has the following contact phone number (818) 686-3112.

The CLIA number assigned to this NPI record is 05D2285399 - other - sud outpatient treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/2/2024 and was last updated on 2/2/2024.

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
13245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenNo
2324500000XSubstance Abuse Rehabilitation FacilityYes

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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