Socal Beach Rehab LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SOCAL BEACH REHAB LLC

Practice address

806 Delaware St
Huntington Beach, CA 92648-4724

Phone

(949) 434-0738

NPI assigned

Mar 27, 2023

Last updated

Mar 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Andrew Falkenthal

Title

Program Director

Phone

(949) 434-0738

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Socal Beach Rehab LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Socal Beach Rehab LLC

  • Substance Abuse Rehabilitation Facility
  • Huntington Beach, CA
  • NPI 1144915240
  NPD tax ID
• Socal Beach Rehab LLC

  • Substance Abuse Rehabilitation Facility
  • Huntington Beach, CA
  • NPI 1275347197
  NPD tax ID

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1417651316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 OLIVE AVE STE 539",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926485142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 DELAWARE ST",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926484724",
            "telephone_number": "949-434-0738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Huntington St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926485224",
            "country_code": "US",
            "telephone_number": "949-434-0738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOCAL BEACH REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "FALKENTHAL",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "949-434-0738",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sober Partners Beach House
• Socal Adolescent Wellness, Inc.
• Socal Adolescent Wellness, Inc.
• Socal Beach Rehab LLC
• Socal Beach Rehab LLC
• Socal Chiropractic Center PC (Beach Chiropractic Sports Center)
• Lawrence W Sogolow, P.T.
• Kenneth Sokolski, M.D.
• Stephanie Solis Ambriz
• Cecilia Solis

• Substance Abuse Rehabilitation Facility in Huntington Beach, CA
• Providers in Huntington Beach, 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 Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.