Active NPI
Harbor Valley Recovery LLC
- Community/Behavioral Health Agency
- Fountain Valley, CA
National Provider Identifier
1962301531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- HARBOR VALLEY RECOVERY LLC
- Practice address
- 17220 Newhope St #120
Fountain Valley, CA 92708 - Phone
- (323) 670-1111
- NPI assigned
- Nov 2, 2026
- Last updated
- Nov 2, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Priscilla Monique Portillo
- Title
- Operations Manager
- Phone
- (323) 670-1111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
17220 Newhope St #120
Fountain Valley, CA 92708
Mailing address
17220 Newhope St #120
Fountain Valley, CA 92708
Phone (323) 670-1111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1793577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1793577600000",
"number": "1962301531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17220 NEWHOPE ST #120",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "92708",
"telephone_number": "323-670-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17220 NEWHOPE ST #120",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "92708",
"telephone_number": "323-670-1111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARBOR VALLEY RECOVERY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-11-02",
"last_updated": "2026-11-02",
"certification_date": "2026-10-29",
"status": "A",
"authorized_official_last_name": "PORTILLO",
"authorized_official_first_name": "PRISCILLA",
"authorized_official_middle_name": "MONIQUE",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "323-670-1111"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
- Nancy F Hanna, M.D.
- Hannah Cho Optometry 3, Inc (FLOE Optometry - Fountain Valley)
- Elizabeth Hansen
- Lynn C. Hansen, CNM
- Harbor Healthy Living Pharmacy Inc (Harbor Pharmacy)
- Rachel Aline Hargrove, M.D.
- James Bose Hariyanto, PHARMD
- Jacquelyn Harlan
- Diane Barbara Harris, MD
- Christian Michael Harrison, PHARM.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.