Newport Coast Recovery

NPI #1003040445 in Newport Beach, California

Provider Information

NPI Number
1003040445
Entity Type
Organization
Organization Name
Newport Coast Recovery
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
May 13, 2009
Last Updated
May 13, 2009

Practice Location

Address
1500 W BALBOA BLVD
Address 2
SUITE 204
ZIP Code
92663-4548
Phone
(949) 673-3097

Authorized Official

Name
DR. MICHAEL RUDOLPH, M.D.
Title
MEDICAL DIRECTOR
Phone
(949) 673-3097

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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