417 San Clemente, Llc

LBN: 417 San Clemente, Llc
417 San Clemente, Llc is an health care organization with primary practice located at 26010 Acero Ste 200 , Mission Viejo CA 92691-6716. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Residential Treatment Facilities / Substance Abuse Treatment, Children. Residential Treatment Facilities / Substance Abuse Treatment, Children is the primary health care specialty. 417 San Clemente, Llc can be contacted via phone (949) 525-7977, or through Kalland, Scott Christian via phone (949) 525-7977.

Contact Information

Primary practice address
26010 Acero Ste 200 Mission Viejo CA 92691-6716
Phone: (949) 525-7977
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kalland, Scott Christian
Phone: (949) 525-7977

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Residential Treatment Facilities / Substance Abuse Treatment, Children 3245S0500X

Profile Details

NPI number 1770968513
LBN Legal business name 417 San Clemente, Llc
DBA Doing business as
Authorized official Kalland, Scott Christian
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2015
Last updated Jul 2nd, 2019 - about 5 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.

Request for update

Popular Providers