NEW EXPERIENCE LLC
NPI 1073271011
Substance Abuse Rehabilitation Facility in Fountain Valley, CA
- Organization
- Substance Abuse Rehabilitation Facility
- CLIA Number: 05D2267402
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-23-2026
About NEW EXPERIENCE LLC
This page provides the complete NPI Profile along with additional information for New Experience Llc, a provider established in Fountain Valley, California operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1073271011 assigned on December 2021. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Ryan Aiumu (Ceo)
- NPI
- 1073271011 Verify this NPI
- Provider Name
- NEW EXPERIENCE LLC
- Entity Type
- Organization
- Location Address
- 17971 EUCLID ST FOUNTAIN VALLEY, CA 92708
- Location Phone
- (714) 814-0272
- Mailing Address
- PO BOX 2498 COSTA MESA, CA 92628
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-07-2021
- Last Update Date
- 03-01-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Substance Abuse Rehabilitation Facility
- Taxonomy Code
- 324500000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- 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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2267402
- Facility Type
- Physician Office
- Certificate Effective Date
- August 24, 2024
- Certificate Expiration Date
- August 23, 2026
- Laboratory Director
- SANJAI THANKACHEN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to New Experience Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
FOUNTAIN VALLEY, CA 92708
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073271011, enumerated as an "organization" on December 07, 2021.
The provider is located at 17971 EUCLID ST FOUNTAIN VALLEY, CA 92708 and the phone number is (714) 814-0272.
Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
