Socal Recovery, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SOCAL RECOVERY, INC

Practice address

1351 Logan Ave Unit C
Costa Mesa, CA 92626-4006

Phone

(949) 463-9406

NPI assigned

Nov 8, 2016

Organization subpart

No

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

Authorized official

Name

Ian Grimley

Title

Director

Phone

(949) 463-9496

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478563200000",
    "number": "1508308503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2973 HARBOR BLVD # 563",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 LOGAN AVE UNIT C",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264006",
            "telephone_number": "949-463-9406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCAL RECOVERY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-08",
        "last_updated": "2016-11-08",
        "status": "A",
        "authorized_official_last_name": "GRIMLEY",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "949-463-9496"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Snyder
• So Cal Chiropractic
• Rayra Maria Soares, R1560210524
• Sober Partners Waterfront Recovery
• Socal Pain Clinics
• Socal Soul Family Therapy, Inc
• Social Glass Network LLC
• Monika Sokolowski
• Solid Landings Behavioral Health
• Caitlyn J. Solis

• Clinical Medical Laboratory in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; 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.