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AFFINITY GROUP LLC. NPI 1942725361


NPI Information

NPI: 1942725361
Provider Name: AFFINITY GROUP, LLC.
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 05D2113984

Address:
1911 KINGS RD
NEWPORT BEACH, CA
ZIP 92663
Phone: (714) 220-1227
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AFFINITY GROUP, LLC. is a substance abuse rehabilitation facility in Newport Beach, 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. AFFINITY GROUP, LLC. NPI is 1942725361. The provider is registered as an organization entity type.

The provider's business location address is:

1911 KINGS RD
NEWPORT BEACH, CA
ZIP 92663-004
Phone: (714) 220-1227

The provider's authorized official is Evan Rabinowitz .
The authorized official title is Ceo and has the following contact phone number (714) 722-0112.

The CLIA number assigned to this NPI record is 05D2113984 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/7/2017 and was last updated on 8/7/2017.


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 Facility300330BPCALIFORNIAYes

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: 11/14/2023

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