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General NPI Number Information
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NPI Number | 1144149881
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Entity Type | Organization
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Legal Business Name | OCEAN RECOVERY, LLC
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Dates
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Enumeration Date | 07/15/2026
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Last Update Date | 07/15/2026
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Provider Practice Location Address
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Address Line | 1901 NEWPORT BLVD STE 210
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City | COSTA MESA
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State | CA
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Zip | 92627-2293
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Country | US
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Telephone | 949-942-8495
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Fax | 888-608-0521
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Provider Business Mailing Address
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Address Line | 111 N SEPULVEDA BLVD STE 336
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City | MANHATTAN BEACH
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State | CA
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Zip | 90266-6849
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Country | US
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Telephone | 310-376-8794
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Fax | 888-608-0521
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MADDY ELIZABETH NAHIGYAN
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Credential |
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Telephone | 949-524-1039
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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