OrganizationActive
Addiction Specialist of Southern California, Inc.
NPI 1700626629 · Adult Mental Health Clinic/Center · Newport Beach, CA
Provider details
- NPI number
- 1700626629
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lawrence Tucker, Owner(949) 390-4730
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
4000 Macarthur Blvd
Suite 600 East Tower
Newport Beach, CA 92660-2517
Phone: (949) 390-4730
Fax: (949) 627-8107
Approximate (ZIP-level) locationGet directions
Mailing address
66 English Saddle
Irvine, CA 92602-1839
Registry dates
- Enumerated
- 2024-05-29
- Last updated
- 2024-05-29
- Certified
- 2024-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.