Organization
PAIN RECOVERY MEDICAL GROUP
Active
Other names
TRES VISTAS RECOVERY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL VILLARREAL (PRESIDENT)
(949) 533-3046
Entity
Organization
Contact information
Practice address
32301 CAMINO CAPISTRANO STE K&L, SAN JUAN CAPISTRANO, CA 92675-4512
(949) 533-3046
Mailing address
32301 CAMINO CAPISTRANO STE K&L, SAN JUAN CAPISTRANO, CA 92675-4512
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
G45144
CA
Other
Enumeration date
05/16/2015
Last updated
01/12/2023
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