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Organization

HOTEL CALIFORNIA BY THE SEA, LLC

Active
Parent organization
HOTEL CALIFORNIA BY THE SEA, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
HOTEL CALIFORNIA BY THE SEA, LLC
Authorized official
KEVIN MELLO (PRESIDENT)
(800) 762-6717
Entity
Organization

Contact information

Practice address
400 WESTMINSTER AVE STE 1, NEWPORT BEACH, CA 92663-4228
(800) 762-6717
Mailing address
2811 VILLA WAY, NEWPORT BEACH, CA 92663-3728

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Enumeration date
04/08/2019
Last updated
02/14/2020
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