JLK Strength LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

JLK STRENGTH LLC

Practice address

3400 Irvine Ave Ste 220
Newport Beach, CA 92660-3103

Phone

(949) 531-1624

NPI assigned

May 3, 2022

Organization subpart

No

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

Authorized official

Name

Nicholas Beets

Title

Director

Phone

(949) 933-1931

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• 405 Recovery Doing business as

Tax ID family

405 Recovery2 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.

• JLK Strength LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fountain Valley, CA
  • NPI 1124717764
  NPD tax ID

Locations

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1396480307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 IRVINE AVE STE 220",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 IRVINE AVE STE 220",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603103",
            "telephone_number": "949-531-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLK STRENGTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "BEETS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "949-933-1931"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHCS",
            "identifier": "300433AP",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "405 Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cinthia Jimenez Leon, LCSW
• Ana Jimenez, PA-C
• Brianna Jimenez
• Monica Lucinda Jimenez
• Jin-Jou Lu, M.D. Inc.
• JLM Psychological Services, Inc.
• JMC Medical Corporation
• Jme Physical Therapy, PC
• Jnpmd Expertise, Inc
• Joann Choi, OD, Inc.

• Substance Use Disorder Rehabilitation Clinic/Center in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.