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CALIFORNIA REHAB CAMPUS LLC NPI 1639618218


NPI Information

NPI: 1639618218
Provider Name: CALIFORNIA REHAB CAMPUS LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 05D2220040

Address:
33861 GRANADA DR
DANA POINT, CA
ZIP 92629
Phone: (833) 272-7342
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CALIFORNIA REHAB CAMPUS LLC is a substance abuse rehabilitation facility in Dana Point, 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. CALIFORNIA REHAB CAMPUS LLC NPI is 1639618218. The provider is registered as an organization entity type.

The provider's business location address is:

33861 GRANADA DR
DANA POINT, CA
ZIP 92629
Phone: (833) 272-7342

The provider's authorized official is Michelle L Duensing .
The authorized official title is Billing Manager and has the following contact phone number (949) 877-2419.

The CLIA number assigned to this NPI record is 05D2220040 - other - inpat rehab facility part with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/16/2017 and was last updated on 10/24/2023.


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
1324500000XSubstance Abuse Rehabilitation Facility300039APCALIFORNIAYes

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
1656620OTHERTHE JOINT COMMISSION
2300036CPOTHERCALIFORNIADEPARTMENT OF HEALTH CARE SERVICES

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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