Organization
HARBOR VILLAGE DETOXIFICATION AND REHABILITATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIA CATHERINE KOH CHUA (DIRECTOR / LICENSE MANAGER)
(909) 904-7003
Entity
Organization
Contact information
Practice address
1620 EL TRAVESIA DR, LA HABRA HEIGHTS, CA 90631-8002
(909) 904-7003
Mailing address
5787 LITTLE SHAY DR, FONTANA, CA 92336-4593
(909) 904-7003
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C4033816
CALIFORNIA SECRETARY OF STATE REGISTRATION
CA
Enumeration date
06/21/2017
Last updated
06/21/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us