Active NPI
New Leaf Detox and Treatment
- Substance Abuse Rehabilitation Facility
- Laguna Niguel, CA
National Provider Identifier
1174188205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.