Organization
ASANA RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM SHANDROW (BILLING MANAGER)
(562) 972-3955
Entity
Organization
Contact information
Practice address
1730 POMONA AVE STE 3, COSTA MESA, CA 92627-3628
(562) 522-8530
Mailing address
1730 POMONA AVE STE 3, COSTA MESA, CA 92627-3628
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/09/2018
Last updated
12/15/2020
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