OrganizationActive
Beachfront Sober Living, Inc
NPI 1952131245 · Adult Mental Health Clinic/Center · Costa Mesa, CA
Provider details
- NPI number
- 1952131245
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Adam Shandrow, Coo(949) 763-4175
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1730 Pomona Ave
Costa Mesa, CA 92627-3628
Phone: (562) 972-3955
Approximate (ZIP-level) locationGet directions
Mailing address
1730 Pomona Ave
Costa Mesa, CA 92627-3628
Other names (DBA / former)
- Doing business as
- Beachfront Recovery
Registry dates
- Enumerated
- 2024-08-02
- Last updated
- 2025-01-06
- Certified
- 2025-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.