Active NPI
Temple Recovery Services
- Substance Use Disorder Rehabilitation Clinic/Center
- Santa Ana, CA
National Provider Identifier
1407593072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- TEMPLE RECOVERY SERVICES
- Practice address
- 4921 Hollyline Ave
Santa Ana, CA 92703-1529 - Phone
- (949) 280-8360
- NPI assigned
- May 16, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- My Tieu Le
- Title
- Owner
- Phone
- (949) 280-8360
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
4921 Hollyline Ave
Santa Ana, CA 92703-1529
Mailing address
4921 Hollyline Ave
Santa Ana, CA 92703-1529
Other names 1
- Temple Recovery Services
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652659200000",
"number": "1407593072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4921 HOLLYLINE AVE",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927031529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4921 HOLLYLINE AVE",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927031529",
"telephone_number": "949-280-8360"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEMPLE RECOVERY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-16",
"last_updated": "2022-05-16",
"certification_date": "2022-05-16",
"status": "A",
"authorized_official_last_name": "LE",
"authorized_official_first_name": "MY",
"authorized_official_middle_name": "TIEU",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "949-280-8360"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Temple Recovery Services",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.