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Organization

SOCAL RECOVERY, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IAN GRIMLEY (DIRECTOR)
(949) 463-9496
Entity
Organization

Contact information

Practice address
1351 LOGAN AVE UNIT C, COSTA MESA, CA 92626-4006
(949) 463-9406
Mailing address
2973 HARBOR BLVD # 563, COSTA MESA, CA 92626-3912

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CA

Other

Enumeration date
11/08/2016
Last updated
11/08/2016
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