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General NPI Number Information
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NPI Number | 1922984665
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Entity Type | Organization
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Legal Business Name | CALIFORNIA HEALING CENTERS, LLC
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Dates
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Enumeration Date | 08/15/2025
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 15702 CIRCO DIEGUENO
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City | DEL MAR
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State | CA
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Zip | 92014
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Country | US
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Telephone | 858-758-1964
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9520
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City | RANCHO SANTA FE
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State | CA
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Zip | 92067-4520
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PARTNER, CEO
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Name | IAN KELLAM
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Credential | APCC, CADC III
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Telephone | 949-527-1517
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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