Beach Cities Recovery LLC

Primary specialty

Recovery Care Clinic/CenterTaxonomy code 261QR0800X

Legal business name

BEACH CITIES RECOVERY LLC

Practice address

440 Fair Dr Ste 237
Costa Mesa, CA 92626-6295

Phone

(562) 375-5874

NPI assigned

Dec 8, 2022

Organization subpart

No

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

Authorized official

Name

Phillip Lee Young, CEO

Title

Owner

Phone

(562) 375-5874

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1275244493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 FAIR DR STE 237",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926266295",
            "telephone_number": "562-375-5874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 FAIR DR STE 237",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926266295",
            "telephone_number": "562-375-5874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH CITIES RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-375-5874",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessye Bautista
• Bay Back Clinical Infusions PC
• Meyse Baydoun
• Mayra Bazavilvazo, D.M.D
• Halle Be
• Beachfront Sober Living, Inc
• William Warren Beacom, L.C.S.W.
• Judith Anne Beadles, MFT
• Shayne Allen Beamer
• Kimberly Beard, RN

• Recovery Care Clinic/Center in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Recovery Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.