Healthcare Provider Details

I. General information

NPI: 1982481263
Provider Name (Legal Business Name): HEALTHCARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2023
Last Update Date: 11/19/2024
Certification Date: 11/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1330 W PEARL ST
ANAHEIM CA
92801-5942
US

IV. Provider business mailing address

151 KALMUS DR STE K1
COSTA MESA CA
92626-5975
US

V. Phone/Fax

Practice location:
  • Phone: 714-780-1174
  • Fax: 714-388-3697
Mailing address:
  • Phone: 714-384-3339
  • Fax: 714-384-3879

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: PETER DAVIDSON
Title or Position: CEO
Credential:
Phone: 714-384-3339