Organization
MIRAMAR HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERIK BRIAN (OWNER)
(949) 717-4797
Entity
Organization
Contact information
Practice address
2542 N HESPERIAN ST, SANTA ANA, CA 92706-1434
(949) 989-2626
Mailing address
23293 S POINTE DR, LAGUNA HILLS, CA 92653-1441
(949) 717-4797
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300182AP
CA
Other
Enumeration date
01/23/2007
Last updated
06/28/2023
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