Organization
OCEANS SOBER LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE FLORES (ACCOUNTS SPECIALIST)
(754) 201-2265
Entity
Organization
Contact information
Practice address
204 21ST ST, NEWPORT BEACH, CA 92663-4372
(949) 400-7120
Mailing address
3419 VIA LIDO # 309, NEWPORT BEACH, CA 92663-3908
(949) 400-7120
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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