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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PHYSICIAN NUTRACEUTICAL RESEARCH, INC

Active Organization

Substance Abuse Rehabilitation Facility · SAN CLEMENTE, CA

Registration Details

NPI Number
1154627925
Provider Type
Organization
NPI Issued
Jan 26, 2011 (15.270512078584 yrs)
Last Updated
Jan 26, 2011
Licenses
300189BP (CA)
300189CP (CA)
300189AP (CA)

Practice Information

Address
140 AVENIDA ALGODON
#A, B & C
SAN CLEMENTE, CA, 926724182
Browse CA providers · Browse ZIP 92672
Phone
8885083371
Fax
9494817063
Primary Specialty
Substance Abuse Rehabilitation Facility
324500000X

Other Substance Abuse Rehabilitation Facility Organizations in SAN CLEMENTE, CA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.