Healthcare Provider Details

I. General information

NPI: 1144149881
Provider Name (Legal Business Name): OCEAN RECOVERY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 NEWPORT BLVD STE 210
COSTA MESA CA
92627-2293
US

IV. Provider business mailing address

111 N SEPULVEDA BLVD STE 336
MANHATTAN BEACH CA
90266-6849
US

V. Phone/Fax

Practice location:
  • Phone: 949-942-8495
  • Fax: 888-608-0521
Mailing address:
  • Phone: 310-376-8794
  • Fax: 888-608-0521

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MADDY ELIZABETH NAHIGYAN
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 949-524-1039