Healthcare Provider Details

I. General information

NPI: 1013809086
Provider Name (Legal Business Name): TAD HEALTH INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2025
Last Update Date: 07/16/2025
Certification Date: 07/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3416 VIA OPORTO STE 201E
NEWPORT BEACH CA
92663-3934
US

IV. Provider business mailing address

2618 SAN MIGUEL DR STE 501
NEWPORT BEACH CA
92660-5437
US

V. Phone/Fax

Practice location:
  • Phone: 949-662-8746
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: BEN GREINER
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 949-662-8746