Addiction Specialist Of Southern California, Inc.

LBN: Addiction Specialist Of Southern California, Inc.
Addiction Specialist Of Southern California, Inc. is an health care organization with primary practice located at 4000 Macarthur Blvd Suite 600 East Tower, Newport Beach CA 92660-2517. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. Addiction Specialist Of Southern California, Inc. can be contacted via phone (949) 390-4730, or through Tucker, Lawrence Vernon via phone (949) 390-4730.

Contact Information

Primary practice address
4000 Macarthur Blvd Suite 600 East Tower Newport Beach CA 92660-2517
Phone: (949) 390-4730
Fax: (949) 627-8107
Website:
Map and Directions
Authorized official contact:
Name: Tucker, Lawrence Vernon Doctor of Medicine (MD)
Phone: (949) 390-4730

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1700626629
LBN Legal business name Addiction Specialist Of Southern California, Inc.
DBA Doing business as
Authorized official Tucker, Lawrence Vernon Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 29th, 2024
Last updated May 29th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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