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417 SAN CLEMENTE, LLC
NPI 1770968513
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Mission Viejo, CA

Active since July 22, 2015
26010 ACERO STE 200, MISSION VIEJO, CA 92691(949) 525-7977 Get Directions Write a Review

NPPES record last updated: July 2, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About 417 San Clemente, Llc NPPES

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

417 SAN CLEMENTE, LLC (NPI 1770968513) is a healthcare organization registered as a substance abuse treatment, children in Mission Viejo, California and active in the NPI registry since July 2015. The organization lists Scott Christian Kalland, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1770968513
Entity TypeOrganization
Primary Taxonomy3245S0500X
Legal Business Name417 SAN CLEMENTE, LLC
Location Address26010 ACERO STE 200Mission Viejo, CA 92691-6716
Mailing Address26010 Acero Ste 200Mission Viejo, CA 92691-6716 · (949) 525-7977
Phone(949) 525-7977
Organization SubpartNo
Authorized OfficialScott Christian KallandOwner/president · (949) 525-7977
Enumeration DateJuly 22, 2015
Last NPPES UpdateJuly 2, 2019
✔ NPI 1770968513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenResidential Treatment Facilities
Taxonomy Code3245S0500X
Definition
A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
26010 ACERO STE 200, Mission Viejo, CA 92691
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

417 ORANGE COUNTY LLC
Substance Abuse Rehabilitation Facility (Substance Abuse Treatment, Children)
26010 ACERO STE 200
MISSION VIEJO, CA 92691
Orange County (760) 485-6563

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 417 San Clemente, LLC's NPI number?

The NPI number for 417 San Clemente, LLC is 1770968513. It was assigned to this organization in the NPPES registry on July 22, 2015.

Where is 417 San Clemente, LLC located?

417 San Clemente, LLC is located at 26010 Acero Ste 200, Mission Viejo, CA 92691. The listed phone number is (949) 525-7977.

What is 417 San Clemente, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

When was this NPI record last updated?

The NPPES record for 417 San Clemente, LLC was last updated on July 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.