Organization
SOCAL BEACH REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW FALKENTHAL (PROGRAM DIRECTOR)
(949) 434-0738
Entity
Organization
Contact information
Practice address
806 DELAWARE ST, HUNTINGTON BEACH, CA 92648-4724
(949) 434-0738
Mailing address
412 OLIVE AVE STE 539, HUNTINGTON BEACH, CA 92648-5142
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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