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1265823751 NPI number — HILLSIDE LAGUNA BEACH LLC

NPI Number: 1265823751
Health Care Provider/Practitioner: HILLSIDE LAGUNA BEACH LLC

Information about “1265823751” NPI (HILLSIDE LAGUNA BEACH LLC) exists in 1265823751 in HTML format HTML  |  1265823751 in plain Text format TXT  |  1265823751 in PDF (Portable Document Format) PDF  |  1265823751 in an XML format XML  formats.

NPI Number : 1265823751 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1265823751",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "HILLSIDE LAGUNA BEACH LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "22981 MILL CREEK DR",
    "SecondLineMailingAddress": "BUILDING B",
    "MailingAddressCityName": "LAGUNA HILLS",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92653-1215",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "949-852-9999",
    "MailingAddressFaxNumber": "949-261-9999",
    "FirstLinePracticeLocationAddress": "2516 TEMPLE HILLS DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAGUNA BEACH",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92651-2659",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "949-233-2828",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/05/2015",
    "LastUpdateDate": "02/05/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "TURBI",
    "AuthorizedOfficialFirstName": "OMAR",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT & CEO",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "POST GRADUATE",
    "AuthorizedOfficialTelephoneNumber": "949-233-2828",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "324500000X",
        "TaxonomyName": "Substance Abuse Rehabilitation Facility",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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