Morro Bay Recovery Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

MORRO BAY RECOVERY INC.

Practice address

2460 Main St
Morro Bay, CA 93442-1552

Phone

(818) 205-7342

NPI assigned

Aug 14, 2019

Organization subpart

No

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

Authorized official

Name

Justin Frankian

Title

Vice President

Phone

(818) 970-3123

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565740800000",
    "number": "1750937835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 MONTE SERENO DR",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913602408",
            "telephone_number": "818-970-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 MAIN ST",
            "city": "MORRO BAY",
            "state": "CA",
            "postal_code": "934421552",
            "telephone_number": "818-205-7342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRO BAY RECOVERY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A",
        "authorized_official_last_name": "FRANKIAN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "818-970-3123"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J Chris Mitsuoka, PHARM.D.
• Kyoko Mitsuoka, PHARMD
• Mark L Monnin, D.C.
• Lucien C. Morin, MSN, PMHNP-BC
• Morro Bay Chiropractic, Dr. Street DC Inc
• Stephanie E Moss, M.A., CCC-A
• David H Musoloff
• Kaitlin Lianne Mustard, LPT
• Keanan Naegele, PPS
• Cynthia Anne Newcomb, RN

• Substance Abuse Rehabilitation Facility in Morro Bay, CA
• Providers in Morro Bay, 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 14, 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.