Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY TANACEA
Active Sole ProprietorKELLY TANACEA is a Substance Abuse Rehabilitation Facility healthcare provider located in SANTA ANA, California. NPI 1992237507 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Rehabilitation Facility · SANTA ANA, CA
Registration Details
- NPI Number
- 1992237507
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 2, 2017 (9.3991905998652 yrs)
- Last Updated
- Apr 2, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
3301 S BEAR ST35FSANTA ANA, CA, 927047263Browse CA providers · Browse ZIP 92704
- Phone
- 9495240706
- Primary Specialty
-
Substance Abuse Rehabilitation Facility
324500000X
Other Substance Abuse Rehabilitation Facility Providers in SANTA ANA, CA
| Name | Credential | NPI |
|---|---|---|
| GUADALUPE OCAMPO | — | 1194117689 |
| MR. DOUGLAS ANTHONY TUCKER SR. | MHS CATC IV 155671 | 1376901017 |
| DOLORES MARY BENISON-GLOVER | LVN | 1144827601 |
| PARIS SUPRY | RAD-T | 1780300509 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.