Laguna Beach Treatment

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

LAGUNA BEACH TREATMENT

Doing business as

Laguna Beach Recovery

Practice address

477 Canyon Acres Dr
Laguna Beach, CA 92651

Phone

(626) 616-6183

NPI assigned

Jun 26, 2024

Organization subpart

Yes

Parent organization

LAGUNA BEACH TREATMENT LLCAs reported in NPPES

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

Authorized official

Name

Dr. Joseph De Santo, MD

Title

Medical Director

Phone

(626) 616-6183

Specialties & licenses 1

Addresses

Other names 1

• Laguna Beach Recovery Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Laguna Beach Treatment

Locations

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1891530473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 CANYON ACRES DR",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "92651",
            "telephone_number": "626-616-6183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 CANYON ACRES DR",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "92651",
            "telephone_number": "626-616-6183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGUNA BEACH TREATMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAGUNA BEACH TREATMENT LLC",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "DE SANTO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "626-616-6183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laguna Beach Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laguna Beach Dental Excellence
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• Laguna Beach Recovery LLC
• Laguna Beach Rehab Inc
• Laguna Beach Urgent Care, Inc. (Surfside Urgent Care of Laguna Beach)
• Laguna Beach Usd
• Laguna Detox
• Laguna Detox
• Laguna DX Inc

• Substance Abuse Rehabilitation Facility in Laguna Beach, CA
• Providers in Laguna Beach, 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 Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.