Organization
OCEANS 8 REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL LEE CASE SR. (PRESIDENT / CEO)
(480) 612-4297
Entity
Organization
Contact information
Practice address
33852 ORILLA RD, DANA POINT, CA 92629-2259
(949) 441-4456
(480) 383-6983
Mailing address
35 S PEAK, LAGUNA NIGUEL, CA 92677-2903
(480) 612-4297
(480) 383-6983
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300356AP
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073979944
NPI
CA
01
—
300356AP
CALIFORNIA DEPERTMENT OF HEALTH CARE SERVICES
CA
Enumeration date
01/08/2016
Last updated
06/09/2016
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