Resurgence California, Llc

LBN: Resurgence California, Llc
Resurgence California, Llc is an health care organization with primary practice located at 158 Marion Blvd , Fullerton CA 92835-3525. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Resurgence California, Llc can be contacted via phone (949) 899-6003, or through Porreca, Tanisha via phone (888) 700-5053.

Contact Information

Primary practice address
158 Marion Blvd Fullerton CA 92835-3525
Phone: (949) 899-6003
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Porreca, Tanisha
Phone: (888) 700-5053

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1003435033
LBN Legal business name Resurgence California, Llc
DBA Doing business as
Authorized official Porreca, Tanisha
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2020
Last updated Apr 9th, 2020 - about 6 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1003435033 NPPES
California Other 300045FP CA DHCS

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