| Hca-bhs-adas-drug Court-harbor | |
|
2801 Bristol St Ste 200 Costa Mesa CA 92626-5996 | |
| (714) 850-8431 | |
| Not Available |
| Full Name | Hca-bhs-adas-drug Court-harbor |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 2801 Bristol St Ste 200, Costa Mesa, California |
| Authorized Official Name and Position | Chi Y Rajalingam (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Contact | 7148343154 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hca-bhs-adas-drug Court-harbor 405 W 5th St Ste 212 Santa Ana CA 92701-4522 Ph: (714) 568-5614 | Hca-bhs-adas-drug Court-harbor 2801 Bristol St Ste 200 Costa Mesa CA 92626-5996 Ph: (714) 850-8431 |
| NPI Number | 1356464051 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 05/17/2021 |
| Certification Date | 05/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356464051 | NPI | - | NPPES |
| 308024 | Other | CA | ADP |
| 8024 | Medicaid | CA |
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