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General NPI Number Information
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NPI Number | 1346156478
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Entity Type | Organization
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Legal Business Name | PHOENIX HOUSE ORANGE COUNTY, INC.
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Dates
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Enumeration Date | 08/19/2026
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Last Update Date | 08/19/2026
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Provider Practice Location Address
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Address Line | 7900 MARINE WAY SUITE 122,124,125
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City | IRVINE
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State | CA
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Zip | 92618-2472
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Country | US
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Telephone | 714-953-9373
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Fax | 714-953-7573
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Provider Business Mailing Address
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Address Line | 11600 ELDRIDGE AVE
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City | LAKE VIEW TERRACE
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State | CA
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Zip | 91342-6506
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Country | US
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Telephone | 818-686-3112
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Fax | 818-897-1293
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Authorized Official
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Title or Position | SENIOR DIRECTOR OF PLANNING AND DEV
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Name | MAJA ANNA TROCHIMCZYK
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Credential | PHD
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Telephone | 818-686-3112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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