COMMONWEALTH REHAB LLC NPI 1730873548

NPI Information

  • NPI: 1730873548
  • Provider Name: COMMONWEALTH REHAB LLC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • CLIA Number: 05D2316906
  • Address: 515 W COMMONWEALTH AVE STE 211
    FULLERTON, CA
    ZIP 92832
  • Phone: (310) 343-8684

Map and Directions

Get Directions

NPI Details

COMMONWEALTH REHAB LLC is an addiction (substance use disorder) counselor in Fullerton, CA. COMMONWEALTH REHAB LLC NPI is 1730873548. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

515 W COMMONWEALTH AVE STE 211
FULLERTON, CA
ZIP 92832-752
Phone: (310) 343-8684

The provider's authorized official is Mariam Goldberg .
The authorized official title is Owner and has the following contact phone number (310) 343-8684.

The CLIA number assigned to this NPI record is 05D2316906 - other - iop with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/5/2023 and was last updated on 9/15/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
2106H00000XMarriage & Family TherapistNo
3101YA0400XCounselorAddiction (Substance Use Disorder)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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI