Organization Active NPI

Temple Recovery Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Santa Ana, CA
National Provider Identifier
1407593072
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
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

Updated by the provider on May 16, 2022

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)CodeLicenseStatePrimary
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 Former legal business name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.