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BALBOA RECOVERY
NPI 1730436809
Clinic/Center - Rehabilitation, Substance Use Disorder in Newport Beach, CA

Active since August 08, 2012
3206 W BALBOA BLVD, NEWPORT BEACH, CA 92663(949) 400-7120 Get Directions Write a Review

NPPES record last updated: August 8, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder

About BALBOA RECOVERY

This page provides the complete NPI Profile along with additional information for Balboa Recovery, a provider established in Newport Beach, California operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1730436809 assigned on August 2012. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Kevin Cullen (President Ceo)

NPI
1730436809 Verify this NPI
Provider Name
BALBOA RECOVERY
Entity Type
Organization
Location Address
3206 W BALBOA BLVD NEWPORT BEACH, CA 92663
Location Phone
(949) 400-7120
Mailing Address
3419 VIA LIDO NEWPORT BEACH, CA 92663
Mailing Phone
(949) 400-7120
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-08-2012
Last Update Date
08-08-2012
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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

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KEVIN CULLEN

Authorized Official Title
PRESIDENT CEO
Authorized Official Phone
(949) 400-7120

Reviews for BALBOA RECOVERY

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

KEVIN CULLEN
Point of Service
3206 W BALBOA BLVD
NEWPORT BEACH, CA 92663
Orange County (949) 723-2388

Frequently Asked Questions

What is BALBOA RECOVERY's NPI number?

The NPI number assigned to this healthcare provider is 1730436809, enumerated as an "organization" on August 08, 2012.

Where is the provider located?

The provider is located at 3206 W BALBOA BLVD NEWPORT BEACH, CA 92663 and the phone number is (949) 400-7120.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.