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RESURGENCE CALIFORNIA, LLC
NPI 1003435033
Substance Abuse Rehabilitation Facility in Fullerton, CA

Active since April 09, 2020
158 MARION BLVD, FULLERTON, CA 92835(949) 899-6003 Get Directions Write a Review

NPPES record last updated: April 9, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Resurgence California, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RESURGENCE CALIFORNIA, LLC (NPI 1003435033) is a healthcare organization registered as a substance abuse rehabilitation facility in Fullerton, California and active in the NPI registry since April 2020. The organization lists Tanisha Porreca, Coo, as its authorized official.

NPPES Registry Identity

NPI1003435033
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameRESURGENCE CALIFORNIA, LLC
Location Address158 MARION BLVDFullerton, CA 92835-3525
Mailing Address3151 Airway Ave Ste E1Costa Mesa, CA 92626-4620
Phone(949) 899-6003
Organization SubpartNo
Authorized OfficialTanisha PorrecaCoo · (888) 700-5053
Enumeration DateApril 9, 2020
NPPES CertifiedApril 9, 2020
✔ NPI 1003435033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
158 MARION BLVD, Fullerton, CA 92835
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Other Identifiers 1

Other300045FPCA · Ca Dhcs

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Resurgence California, LLC's NPI number?

The NPI number for Resurgence California, LLC is 1003435033. It was assigned to this organization in the NPPES registry on April 9, 2020.

Where is Resurgence California, LLC located?

Resurgence California, LLC is located at 158 Marion Blvd, Fullerton, CA 92835. The listed phone number is (949) 899-6003.

What is Resurgence California, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Resurgence California, LLC was last updated on April 9, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.