Halo Health Services, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

300629AP Issued in CA

Legal business name

HALO HEALTH SERVICES, INC.

Practice address

2421 Tustin Ave
Costa Mesa, CA 92627-1435

Phone

(949) 548-1112

NPI assigned

Jan 13, 2017

Organization subpart

No

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

Authorized official

Name

Michael Martinez

Title

Program Director

Phone

(949) 548-1112

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1770029795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 NEWPORT CENTER DR STE 1100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 TUSTIN AVE",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926271435",
            "telephone_number": "949-548-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALO HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-13",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "949-548-1112"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300629AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Marie Hall
• Briana Hallgren, P.T.
• Lauren Halloren, P.T.
• Victoria Jayne Halls
• Jacob Luther Halmrast, DPT
• Danica Noel Halverson, P.T.A.
• Syed Muhammed Zeeshan Hamdani
• Melanie Hamel
• Chris Fay Hamelberg
• Sohil Hamid

• Substance Abuse Rehabilitation Facility in Costa Mesa, CA
• Providers in Costa Mesa, 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 Jan 13, 2017; 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.