Healthcare Provider Details

I. General information

NPI: 1164137337
Provider Name (Legal Business Name): HEALTHRIGHT 360
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2023
Last Update Date: 04/07/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

265 SOUTH ANITA DRIVE SUITES 202, 301, 302
ORANGE CA
92868
US

IV. Provider business mailing address

1563 MISSION ST 2ND FLOOR MAIL ROOM
SAN FRANCISCO CA
94103-2592
US

V. Phone/Fax

Practice location:
  • Phone: 415-762-3700
  • Fax:
Mailing address:
  • Phone: 415-762-3700
  • Fax: 415-865-0119

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. ATHILA LAMBINO
Title or Position: DIRECTOR OF LICENSING & CERT.
Credential:
Phone: 415-912-0605