JLK Strength LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

JLK STRENGTH LLC

Practice address

17280 Newhope St Ste 18
Fountain Valley, CA 92708-4282

Phone

(949) 531-1624

NPI assigned

May 1, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nicholasbeets Beets

Title

Director

Phone

(949) 933-1931

Specialties & licenses 1

Addresses

Other names 1

• 405 Recovery Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

405 Recovery2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• JLK Strength LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Newport Beach, CA
  • NPI 1396480307
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1124717764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27181 ASHTON CIR",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926305802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17280 NEWHOPE ST STE 18",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084282",
            "telephone_number": "949-531-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLK STRENGTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "BEETS",
        "authorized_official_first_name": "NICHOLASBEETS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "949-933-1931"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "405 Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Haresh S. Jhangiani, M.D.
• Jihyun Ro
• Gabrielle Michelle Jimmerson, APCC
• Jin Jou Lu MD
• JKJP LLC
• Erin Jo
• Joan R David, PH.D.
• Joginder S Jodhka, MD
• Joe J. Chen, D.D.S., Inc.
• Joel a Berman, MD Inc

• Substance Use Disorder Rehabilitation Clinic/Center in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.