IXDM INC. (NPI# 1871864983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871864983 |
| Entity Type | Organization |
| Organization Name | IXDM INC. |
| Other Organization Name | OHANA PALMS RECOVERY |
| Practice Address |
27301 Westridge Ln. Laguna Hills CA 92653 |
| Mailing Address |
33591 Via De Agua San Juan Capistrano CA 92675 |
| Practice Telephone | 9493490234 |
| Mailing Telephone | 9493623699 |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2012-01-20 |
| Authorized Official Name | MRS. CATHERINE CAMERON PEARCE (ADMINISTRATOR) |
| Authorized Official Telephone | 9494007317 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
300216AP | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Ohana Palms Recovery | Doing Business As Name - Organization |
| Street Address |
27301 WESTRIDGE LN. |
| City | LAGUNA HILLS |
| State | CA |
| Zip Code | 92653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708476 | Nikkie Veyseh | Behavior Technician | 26921 Falling Leaf Dr., Laguna Hills, CA 92653 | 2020-10-24 |
| 1609480425 | Steve Ceja | Behavior Technician | 25201 Paseo De Alicia Suite 110, Laguna Hills, CA 92653 | 2020-08-31 |
| 1467006882 | Kristina Alexa Puno Morales | Dietitian, Registered | 24552 Health Center Drive, Laguna Hills, CA 92653 | 2019-07-25 |
| 1164929626 | Shoreline Consulting Services, Inc. | Clinic/Center | 23010 Lake Forest Drive, Suite B, Laguna Hills, CA 92653 | 2018-04-11 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1831613850 | Stephani A Berg | Physical Medicine & Rehabilitation | 24422 Avenida De La Carlota Suite 190, Laguna Hills, CA 92653 | 2017-08-01 |
| 1497299945 | Stephanie Lyle | Nurse Practitioner | 24221 Calle De Louisa, Suite 400, Laguna Hills, CA 92653 | 2016-12-16 |
| 1053776278 | Meillanny Gladness | Counselor | 23151 Verdugo Dr Ste 203, Laguna Hills, CA 92653 | 2015-12-16 |
| 1912383183 | Pmdca, LLC | Clinical Medical Laboratory | 23297 S Pointe Dr Ste 100, Laguna Hills, CA 92653 | 2015-08-10 |
| 1821486630 | 4mpw, Inc. | Home Health | 23232 Peralta Drive 216, Laguan Hills, CA 92653 | 2014-12-31 |
| Find all providers in zip 92653 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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|---|---|---|---|---|
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| 1265923817 | Jrw Group LLC | Clinic/Center | 25401 Cabot Rd Ste 114, Laguna Hills, CA 92653-5530 | 2018-05-18 |
| 1740771070 | Stone Ridge Recovery Inc | Clinic/Center | 24951 Sandridge Cir, Laguna Hills, CA 92653-5893 | 2018-05-22 |
| 1205389533 | Epic Victory Inc. | Clinic/Center | 23547 Moulton Pkwy Ste 201b, Laguna Hills, CA 92653-1900 | 2016-08-03 |
| 1629421037 | Sober Spot LLC, The | Clinic/Center | 25241 Paseo De Alicia, Laguna Hills, CA 92653-4643 | 2016-07-20 |
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| Find all providers with the same taxonomy | ||||
| City | LAGUNA HILLS |
| Zip Code | 92653 |
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| 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.