Fred Brown'S Recovery Services, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

FRED BROWN'S RECOVERY SERVICES, INC.

Practice address

1278 W 25TH St
San Pedro, CA 90731-4904

Phone

(562) 349-2355

Fax

(310) 519-1309

NPI assigned

Mar 18, 2022

Organization subpart

No

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

Authorized official

Name

Angelita Fernando

Title

Administrative Manager

Phone

(310) 519-8723

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Trinity Michelle Robles, RADT

  • Addiction (Substance Use Disorder) Counselor
  • San Pedro, CA
  • NPI 1700676798
  NPD

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1619626678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2743",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907310182",
            "telephone_number": "310-519-8723",
            "fax_number": "310-519-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1278 W 25TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907314904",
            "telephone_number": "562-349-2355",
            "fax_number": "310-519-1309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED BROWN'S RECOVERY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-18",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A",
        "authorized_official_last_name": "FERNANDO",
        "authorized_official_first_name": "ANGELITA",
        "authorized_official_title_or_position": "ADMINISTRATIVE MANAGER",
        "authorized_official_telephone_number": "310-519-8723"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fred Brown'S Recovery Services, Inc.
• Fred Brown'S Recovery Services, Inc.
• Fred Brown'S Recovery Services, Inc.
• Fred Brown'S Recovery Services, Inc.
• Fred Brown'S Recovery Services, Inc.
• Fred Brown'S Recovery Services, Inc.
• James H French Jr., M.D.
• Sean French, DPT
• Tattyanna Frescas
• Kelly Danielle Friday, CATC; 112519

• Substance Abuse Rehabilitation Facility in San Pedro, CA
• Providers in San Pedro, 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 May 8, 2023; 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.