SOBER SPOT LLC, THE (NPI# 1629421037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629421037 |
| Entity Type | Organization |
| Organization Name | SOBER SPOT LLC, THE |
| Other Organization Name | THE SOBER SPOT RECOVERY CENTER |
| Practice Address |
25241 Paseo De Alicia Laguna Hills CA 92653-4643 |
| Practice Telephone | 9493885123 |
| Practice Fax Number | 8885109071 |
| Mailing Telephone | 9493885123 |
| Mailing Fax Number | 8885109071 |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-07-20 |
| Authorized Official Name | ALAN BALAGUL (FOUNDER) |
| Authorized Official Telephone | 7186148044 |
| Authorized Official Credential | PROGRM DIRECTOR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
300333AP | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE OF CALIFORNIA LICENSE | 300333AP | 01 |
| Other Name | Type Code |
|---|---|
| THE SOBER SPOT RECOVERY CENTER | Former Legal Business Name - Organization |
| Street Address |
25241 PASEO DE ALICIA |
| City | LAGUNA HILLS |
| State | CA |
| Zip Code | 92653-4643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124395413 | Joy Monique Nussen Timsit | Marriage & Family Therapist | 25241 Paseo De Alicia, Suite 220, Laguna Hills, CA 92653-4643 | 2011-11-30 |
| 1902148893 | Benjamin Allen Horning | Chiropractor | 25241 Paseo De Alicia, Suite 100, Laguna Hills, CA 92653-5449 | 2013-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708476 | Nikkie Veyseh | Behavior Technician | 26921 Falling Leaf Dr., Laguna Hills, CA 92653 | 2020-10-24 |
| 1609480425 | Steve Ceja | Behavior Technician | 25201 Paseo De Alicia Suite 110, Laguna Hills, CA 92653 | 2020-08-31 |
| 1467006882 | Kristina Alexa Puno Morales | Dietitian, Registered | 24552 Health Center Drive, Laguna Hills, CA 92653 | 2019-07-25 |
| 1164929626 | Shoreline Consulting Services, Inc. | Clinic/Center | 23010 Lake Forest Drive, Suite B, Laguna Hills, CA 92653 | 2018-04-11 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1831613850 | Stephani A Berg | Physical Medicine & Rehabilitation | 24422 Avenida De La Carlota Suite 190, Laguna Hills, CA 92653 | 2017-08-01 |
| 1497299945 | Stephanie Lyle | Nurse Practitioner | 24221 Calle De Louisa, Suite 400, Laguna Hills, CA 92653 | 2016-12-16 |
| 1053776278 | Meillanny Gladness | Counselor | 23151 Verdugo Dr Ste 203, Laguna Hills, CA 92653 | 2015-12-16 |
| 1912383183 | Pmdca, LLC | Clinical Medical Laboratory | 23297 S Pointe Dr Ste 100, Laguna Hills, CA 92653 | 2015-08-10 |
| 1821486630 | 4mpw, Inc. | Home Health | 23232 Peralta Drive 216, Laguan Hills, CA 92653 | 2014-12-31 |
| Find all providers in zip 92653 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1265923817 | Jrw Group LLC | Clinic/Center | 25401 Cabot Rd Ste 114, Laguna Hills, CA 92653-5530 | 2018-05-18 |
| 1871864983 | Ixdm Inc. | Clinic/Center | 27301 Westridge Ln., Laguna Hills, CA 92653 | 2012-01-20 |
| 1740771070 | Stone Ridge Recovery Inc | Clinic/Center | 24951 Sandridge Cir, Laguna Hills, CA 92653-5893 | 2018-05-22 |
| 1205389533 | Epic Victory Inc. | Clinic/Center | 23547 Moulton Pkwy Ste 201b, Laguna Hills, CA 92653-1900 | 2016-08-03 |
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| Find all providers with the same taxonomy | ||||
| City | LAGUNA HILLS |
| Zip Code | 92653 |
Please comment or provide details below to improve the information on SOBER SPOT LLC, THE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.