BALBOA RECOVERY NPI 1982957197

NPI Information

  • NPI: 1982957197
  • Provider Name: BALBOA RECOVERY
  • Classification: Point of Service - 305S00000X
  • Entity Type: Organization
  • Address: 3419 VIA LIDO
    NEWPORT BEACH, CA
    ZIP 92663
  • Phone: (949) 723-2388

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NPI Details

BALBOA RECOVERY is a point of service in Newport Beach, CA. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. BALBOA RECOVERY NPI is 1982957197. The provider is registered as an organization entity type.

The provider's business location address is:

3419 VIA LIDO
NEWPORT BEACH, CA
ZIP 92663-908
Phone: (949) 723-2388

The provider's authorized official is Kevin Cullen .
The authorized official title is Chief Executive Officer and has the following contact phone number (949) 400-7120.

The enumeration date for this NPI number is 10/25/2012 and was last updated on 10/25/2012.

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
1305S00000XPoint of ServiceYes

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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