Organization
SOCAL RECOVERY, INC
Active
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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