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Organization
OCEANROCK, LLC
Active
Organization
OCEANROCK, LLC
Active
Other names
OceanRock Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
TAHAMTAN NEMATBAKHSH JD (CEO)
(949) 375-5541
Entity
Organization
Contact information
Practice address
1100 QUAIL STREET, SUITE 205, NEWPORT BEACH, CA 92660
(949) 979-6866
Mailing address
1100 QUAIL ST STE 205, NEWPORT BEACH, CA 92660-2700
(949) 979-6866
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300428AP
DEPARTMENT OF HEALTH CARE SERVICES (DHCS)
CA
Enumeration date
04/03/2020
Last updated
07/21/2023
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