SOCAL SUNNY HILLS, LLC


Address: 2030 E 4th St Ste 140f, Santa Ana, CA 92705-3969
Phone: 9512150881

SOCAL SUNNY HILLS, LLC (NPI# 1093284739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093284739
Entity Type Organization
Organization Name SOCAL SUNNY HILLS, LLC
Practice Address 2030 E 4th St Ste 140f
Santa Ana
CA 92705-3969
Mailing Address 1057 E Imperial Hwy Apt 226
Placentia
CA 92870-1717
Practice Telephone 9512150881
Mailing Telephone 7148873816
Enumeration Date 2018-11-23
Last Update Date 2018-11-23
Authorized Official Name ANGELIKA PANOVA (MANAGER)
Authorized Official Telephone 7148873816
Authorized Official Credential PMHNP-RN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
Physician Assistants & Advanced Practice Nursing Providers
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
SOCAL SUNNY HILLS Doing Business As Name - Organization

Office Location

Street Address 2030 E 4TH ST STE 140F
City SANTA ANA
State CA
Zip Code 92705-3969

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NPI Name Taxonomy Address Enumeration
1952919763 John G. Alevizos, D.o., A Professional Medical Corporation Preventive Medicine 1530 East Edinger Avenue, Suite 1, Santa Ana, CA 92705 2020-07-17
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1588214688 Cindy Mejia Behavior Technician 505 N. Tustin Ave., #152, Santa Ana, CA 92705 2019-09-19
1588210504 Jennifer Ang Lim-quevedo Nurse Practitioner 18362 Whitney Dr, Santa Ana, CA 92705 2019-08-15
1962056820 Melinda Acosta Black Social Worker 1526 Brookhollow Drive, Santa Ana, CA 92705 2019-07-30
1972069631 Amy Marie Elit Nurse Practitioner 1751 E Harry Ave, Santa Ana, CA 92705 2019-02-18
1386118180 Unified Behavioral Health, LLC Substance Abuse Rehabilitation Facility 1218 W Santa Ana Blvd, Santa Ana, CA 92705 2019-01-15
1952884736 Javier Perales Social Worker 1652 Windsor Ln, Santa Ana, CA 92705 2018-09-08
1073009700 Eva E Kuncewicki Marriage & Family Therapist 1001 S Grand Ave # B, Santa Ana, CA 92705 2018-07-05
1487149886 Nimbus Medtransport Inc. Non-emergency Medical Transport (VAN) 2112 E 4th St Ste 235, Santa Ana, CA 92705 2018-06-27
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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

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1023565579 American Addiction Institute of Mind and Medicine Clinic/Center 1533 E 4th St, Santa Ana, CA 92701-5115 2016-09-01

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Competitor

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City SANTA ANA
Zip Code 92705

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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