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SOCAL BEACH REHAB LLC
NPI 1144915240
Substance Abuse Rehabilitation Facility in Huntington Beach, CA

Active since April 06, 2023CLIA Certified · 3 labs
101 HUNTINGTON ST, HUNTINGTON BEACH, CA 92648(949) 677-6880 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Socal Beach Rehab Llc NPPES

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

SOCAL BEACH REHAB LLC (NPI 1144915240) is a healthcare organization registered as a substance abuse rehabilitation facility in Huntington Beach, California and active in the NPI registry since April 2023. The organization holds 3 active CLIA laboratory certificates and lists Andrew Falkenthal, Owner, as its authorized official.

NPPES Registry Identity

NPI1144915240
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameSOCAL BEACH REHAB LLC
Location Address101 HUNTINGTON STHuntington Beach, CA 92648-5224
Mailing Address412 Olive Ave Ste 539Huntington Beach, CA 92648-5142 · (949) 677-6880
Phone(949) 677-6880
Organization SubpartNo
Authorized OfficialAndrew FalkenthalOwner · (949) 434-0738
Enumeration DateApril 6, 2023
NPPES CertifiedMarch 31, 2023
✔ NPI 1144915240 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.
101 HUNTINGTON ST, Huntington Beach, CA 92648
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CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2311550

Socal Beach Rehab LLC · Huntington Beach, CA
Active · expires Sep 23, 2026
CLIA Number05D2311550
Laboratory TypeBehavioral Health Care
Certificate Effective DateSeptember 24, 2024
Certificate Expiration DateSeptember 23, 2026
Laboratory DirectorRobert S. Jennings
Laboratory Phone(949) 434-0738
Laboratory LocationSocal Beach Rehab LLC101 Huntington Street, Huntington Beach, CA 92648
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2329693

Socal Beach Rehab LLC · Huntington Beach, CA
Active · expires Sep 3, 2027
CLIA Number05D2329693
Laboratory TypeResidential Trmnt Center
Certificate Effective DateSeptember 4, 2025
Certificate Expiration DateSeptember 3, 2027
Laboratory DirectorRobert S. Jennings
Laboratory Phone(949) 434-0738
Laboratory LocationSocal Beach Rehab LLC119 7th St, Huntington Beach, CA 92648
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2310729

Socal Beach Rehab LLC · Huntington Beach, CA
Active · expires Sep 8, 2026
CLIA Number05D2310729
Laboratory TypeBehavioral Health Care
Certificate Effective DateSeptember 9, 2024
Certificate Expiration DateSeptember 8, 2026
Laboratory DirectorRobert Jennings
Laboratory Phone(949) 434-0738
Laboratory LocationSocal Beach Rehab LLC806 Delaware St, Huntington Beach, CA 92648
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Socal Beach Rehab LLC's NPI number?

The NPI number for Socal Beach Rehab LLC is 1144915240. It was assigned to this organization in the NPPES registry on April 6, 2023.

Where is Socal Beach Rehab LLC located?

Socal Beach Rehab LLC is located at 101 Huntington St, Huntington Beach, CA 92648. The listed phone number is (949) 677-6880.

What is Socal Beach Rehab LLC's specialty?

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

Does Socal Beach Rehab LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Socal Beach Rehab LLC was last updated on April 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.