# RESURGENCE CALIFORNIA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144873308
- **Authorized official:** TANISHA PORRECA (COO)
- **Authorized official phone:** (888) 700-5053

## Contact information

- **Practice address:** 3129 PIERCE AVE, COSTA MESA, CA 92626-2827
- **Practice address phone:** (888) 700-5053
- **Practice address fax:** (949) 209-5490
- **Mailing address:** 3151 AIRWAY AVE STE E1, COSTA MESA, CA 92626-4620
- **Mailing address phone:** (888) 700-5053
- **Mailing address fax:** (949) 209-5490

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 07/17/2019
- **Last updated:** 07/17/2019