Products for Recovery Management Group, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

PRODUCTS FOR RECOVERY MANAGEMENT GROUP, LLC

Practice address

24482 Caracas St.
Dana Point, CA 92629-4167

Phone

(949) 835-0123

Fax

(657) 235-0178

NPI assigned

May 9, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Eric Cunningham

Title

Cfo

Phone

(949) 835-0123

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1431129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539043200000",
    "number": "1265810311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23172 PLAZA POINTE DR.",
            "address_2": "SUITE 100",
            "city": "LAGUNA",
            "state": "CA",
            "postal_code": "926536136",
            "telephone_number": "657-235-0178",
            "fax_number": "657-235-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24482 CARACAS ST.",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926294167",
            "telephone_number": "949-835-0123",
            "fax_number": "657-235-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRODUCTS FOR RECOVERY MANAGEMENT GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-09",
        "last_updated": "2018-10-09",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "949-835-0123",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "CA",
            "license": "A51101",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1235407131",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Powers, L.C.S.W
• Prendiville Properties, Inc.
• Kevin J Prendiville, M.D.
• Preventativerx
• Products for Recovery Management Group LLC
• Helene Ann Pulnik, ND
• Auranate Pungprapunpong, PHARM D.
• Pur Detox Inc
• Qualicare Orange Coast
• Gemma C Quick, LMFT

• Substance Abuse Rehabilitation Facility in Dana Point, CA
• Providers in Dana Point, 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 Oct 9, 2018; 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.