Organization Active NPI

New Leaf Detox and Treatment

  • Substance Abuse Rehabilitation Facility
  • Laguna Niguel, CA
National Provider Identifier
1174188205
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
NEW LEAF DETOX AND TREATMENT
Practice address
63 Mallorca
Laguna Niguel, CA 92677-5625
Phone
(312) 315-3315
NPI assigned
May 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Authorized official

Name
Mr. Joshua Hamburg, CADC-CS, ICCS
Title
Ceo
Phone
(312) 315-3315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

63 Mallorca
Laguna Niguel, CA 92677-5625

Mailing address

2942 Century PL # 716
Costa Mesa, CA 92626-4324
Phone (949) 945-8391

Other practice location 1

33 Mallorca
Laguna Niguel, CA 92677-5644
Phone (312) 315-3315

Other practice location 2

61 Mallorca
Laguna Niguel, CA 92677-5625
Phone (312) 315-3315

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1174188205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2942 CENTURY PL # 716",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264324",
            "telephone_number": "949-945-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 MALLORCA",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926775625",
            "telephone_number": "312-315-3315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Mallorca",
            "address_purpose": "LOCATION",
            "city": "Laguna Niguel",
            "state": "CA",
            "postal_code": "926775644",
            "country_code": "US",
            "telephone_number": "312-315-3315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "61 Mallorca",
            "address_purpose": "LOCATION",
            "city": "Laguna Niguel",
            "state": "CA",
            "postal_code": "926775625",
            "country_code": "US",
            "telephone_number": "312-315-3315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEW LEAF DETOX AND TREATMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-03",
        "last_updated": "2024-03-13",
        "certification_date": "2022-06-03",
        "status": "A",
        "authorized_official_last_name": "HAMBURG",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-315-3315",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CADC-CS, ICCS"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.