| Resurgence California, Llc | |
|
3151 Airway Ave Ste E2 Costa Mesa CA 92626-4620 | |
| (888) 700-5053 | |
| Not Available |
| Full Name | Resurgence California, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3151 Airway Ave Ste E2, Costa Mesa, California |
| Authorized Official Name and Position | Camille L Linares (COMPLIANCE) |
| Authorized Official Contact | 9492455411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Resurgence California, Llc 3151 Airway Ave Ste E1 Costa Mesa CA 92626-4620 Ph: () - | Resurgence California, Llc 3151 Airway Ave Ste E2 Costa Mesa CA 92626-4620 Ph: (888) 700-5053 |
| NPI Number | 1700586484 |
|---|---|
| Provider Enumeration Date | 03/09/2023 |
| Last Update Date | 03/09/2023 |
| Certification Date | 03/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700586484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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