OrganizationActive
Backbay Health Center, LLC
NPI 1891217501 · Substance Use Disorder Rehabilitation Hospital Unit · Costa Mesa, CA
Provider details
- NPI number
- 1891217501
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Hospital UnitHospital Units
- Authorized official
- Peter Muran, Partner
- License
- A43078 (CA)
Practice location
2488 Newport Blvd Ste a
Costa Mesa, CA 92627-5196
Phone: (805) 704-5705
Fax: (714) 886-2570
Mailing address
2488 Newport Blvd Ste a
Costa Mesa, CA 92627-5196
Registry dates
- Enumerated
- 2017-07-13
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.