Complete Resurgency LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

COMPLETE RESURGENCY LLC

Practice address

31957 Virginia Way
Laguna Beach, CA 92651-6822

Phone

(949) 837-2751

NPI assigned

Jan 27, 2014

Organization subpart

No

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

Authorized official

Name

Joshua Carl Hamburg

Title

Ceo

Phone

(312) 315-3315

Specialties & licenses 1

Addresses

Other names 1

• Soul Sanctuary Doing business as

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

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567036800000",
    "number": "1588087647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31957 VIRGINIA WAY",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926516822",
            "telephone_number": "312-315-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31957 VIRGINIA WAY",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926516822",
            "telephone_number": "949-837-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE RESURGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-27",
        "last_updated": "2019-08-29",
        "status": "A",
        "authorized_official_last_name": "HAMBURG",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-315-3315"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soul Sanctuary",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Soul Sanctuary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael T Coccia, MD
• McKenna Coffey, LCSW
• Jay A Cohen, M.D.
• Susan Debra Cohn, L.C.S.W.
• Alaina Rae Collazo, DDS
• Gina Rosalinda Compton
• Michael D Cook, O.D.
• Jennifer Marin Cooper
• David Corradi, DDS
• Cosmetic Surgery Clinics

• Substance Abuse Rehabilitation Facility in Laguna Beach, CA
• Providers in Laguna 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 Aug 29, 2019; 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.