Organization Active NPI

Laguna Detox

  • Substance Abuse Rehabilitation Facility
  • Laguna Beach, CA
National Provider Identifier
1205387040
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
LAGUNA DETOX
Practice address
226 Cliff Dr
Laguna Beach, CA 92651-1817
Phone
(714) 448-1891
NPI assigned
Oct 17, 2016
Last updated
Oct 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Authorized official

Name
Aaron Hart Brower
Title
Executive
Phone
(714) 448-1891

Specialties & licenses 1

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

Addresses

Primary practice location

226 Cliff Dr
Laguna Beach, CA 92651-1817

Mailing address

2973 Harbor Blvd # 305
Costa Mesa, CA 92626-3912
Phone (714) 448-1891

National Provider Directory

National Provider Directory
Tax ID family
Laguna Detox2 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.

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1205387040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2973 HARBOR BLVD # 305",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263912",
            "telephone_number": "714-448-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 CLIFF DR",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926511817",
            "telephone_number": "714-448-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGUNA DETOX",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "BROWER",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "HART",
        "authorized_official_title_or_position": "EXECUTIVE",
        "authorized_official_telephone_number": "714-448-1891"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.