Organization
SOBERTEC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH MUNGUIA (BILLING DIRECTOR)
(949) 430-7824
Entity
Organization
Contact information
Practice address
125 COLUMBIA STE B, ALISO VIEJO, CA 92656-4158
(949) 430-7824
(949) 221-8207
Mailing address
2350 SE BRISTOL ST STE 200, NEWPORT BEACH, CA 92660-2350
(949) 430-7824
(949) 221-8207
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
NPF14062
CA
101YM0800X
Mental Health Counselor
NPF14062
CA
324500000X
Substance Abuse Rehabilitation Facility
Primary
300254AP
CA
Other
Enumeration date
04/09/2013
Last updated
12/12/2016
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