First House Detox

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

G82171 Issued in CA

Legal business name

FIRST HOUSE DETOX

Practice address

1048 Irvine Ave # 443
Newport Beach, CA 92660-4602

Phone

(949) 515-2360

Fax

(949) 515-6278

NPI assigned

Jun 7, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Lloyd Gorman

Title

Owner

Phone

(949) 515-6278

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1235423229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1048 IRVINE AVE # 443",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926604602",
            "telephone_number": "949-515-2360",
            "fax_number": "949-515-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1048 IRVINE AVE # 443",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926604602",
            "telephone_number": "949-515-2360",
            "fax_number": "949-515-6278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST HOUSE DETOX",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-07",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "GORMAN",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-515-6278",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "G82171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cassidy Jordyn Filpi, ATC
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• Stephen Aaron Fink, MD
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• Amy Fischer
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• Katie Jean Fitzpatrick, DPT

• Substance Abuse Rehabilitation Facility in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.