Healthcare Provider Details

I. General information

NPI: 1639089667
Provider Name (Legal Business Name): SALTERRA RECOVERY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34801 CALLE DEL SOL
CAPISTRANO BEACH CA
92624-1516
US

IV. Provider business mailing address

34801 CALLE DEL SOL
CAPISTRANO BEACH CA
92624-1516
US

V. Phone/Fax

Practice location:
  • Phone: 714-785-2512
  • Fax:
Mailing address:
  • Phone: 714-785-2512
  • Fax:

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: SALINA SHULER
Title or Position: CEO/ MANAGING MEMBER
Credential: MSW
Phone: 714-785-2512