Seacliff Recovery Center

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

300152BP Issued in CA

Legal business name

SEACLIFF RECOVERY CENTER

Practice address

18682 Beach Blvd
Suite 255
Huntington Beach, CA 92648-5049

Phone

(714) 960-0078

NPI assigned

Oct 26, 2010

Last updated

Oct 24, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Darryl Kazuo Fujihara

Title

Executive Director

Phone

(714) 960-0078

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540339200000",
    "number": "1851691737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 7TH ST",
            "address_2": "UNIT 2",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926485049",
            "telephone_number": "714-960-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18682 BEACH BLVD",
            "address_2": "SUITE 255",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926485049",
            "telephone_number": "714-960-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEACLIFF RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-26",
        "last_updated": "2018-10-24",
        "status": "A",
        "authorized_official_last_name": "FUJIHARA",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_middle_name": "KAZUO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "714-960-0078",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CA",
            "license": "300152BP",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Use Disorder Rehabilitation Clinic/Center in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.