Pacific Care Recovery Center

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

PACIFIC CARE RECOVERY CENTER

Practice address

6920 Victoria Ave
#19
Highland, CA 92346-2971

Phone

(562) 481-7100

NPI assigned

Sep 6, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Thoriya Nakoula

Title

Director

Phone

(562) 481-7100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1441497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441497600000",
    "number": "1710355847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6920 VICTORIA AVE",
            "address_2": "#19",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923462971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 VICTORIA AVE",
            "address_2": "#19",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923462971",
            "telephone_number": "562-481-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC CARE RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-06",
        "last_updated": "2015-09-06",
        "status": "A",
        "authorized_official_last_name": "NAKOULA",
        "authorized_official_first_name": "THORIYA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "562-481-7100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in Highland, CA
• Providers in Highland, 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 Sep 6, 2015; 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.