Rebel Recovery Center

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

REBEL RECOVERY CENTER

Practice address

2029 W Chateau Ave
Anaheim, CA 92804-4410

Phone

(310) 999-4300

NPI assigned

Dec 20, 2017

Organization subpart

No

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

Authorized official

Name

Hector Manuel Perez

Title

Program Director

Phone

(310) 999-4300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578873600000",
    "number": "1295241719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2029 W CHATEAU AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928044410",
            "telephone_number": "310-999-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 W CHATEAU AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928044410",
            "telephone_number": "310-999-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBEL RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-20",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "310-999-4300"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Reardon, RN
• Nicole Reaves, MS, OTR/L, CHT
• Monika Anna Rebalska, P.T.
• Rebecca M. Maravilla, OD, Inc.
• Rebel New Life Treatment Center, LLC.
• Danae Erica Rebensdorf, AMFT
• Peggy Jane Rebollar
• Rebecca Marie Rebstad-Peek, LVN
• Ryan Rebueno
• Karen Reconco-Figueroa

• Substance Abuse Rehabilitation Facility in Anaheim, CA
• Providers in Anaheim, 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 Jan 13, 2020; 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.