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4029 Westerly Pl Ste 113 Newport Beach CA 92660-2329 | |
| (714) 875-5479 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 4029 Westerly Pl Ste 113, Newport Beach, California |
| Authorized Official Name and Position | Zachary Joseph Fielding (CEO) |
| Authorized Official Contact | 7148755479 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
17602 17trh St. Suite 102-123 Tustin CA 92780 Ph: (714) 883-3133 | 4029 Westerly Pl Ste 113 Newport Beach CA 92660-2329 Ph: (714) 875-5479 |
| NPI Number | 1013783976 |
|---|---|
| Provider Enumeration Date | 11/30/2023 |
| Last Update Date | 04/25/2024 |
| Certification Date | 04/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013783976 | NPI | - | NPPES |
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