Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Addiction Specialist of Southern California, Inc

Organization Adult Mental Health Clinic/Center · NPI 1700626629

Addiction Specialist of Southern California, Inc is an Adult Mental Health Clinic/Center in Newport Beach, California. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4000 Macarthur Blvd Ste 600 East Tower
Newport Beach, CA 92660-2517
Phone: (949) 390-4730
Fax: (949) 627-8107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Mental Health Clinic/Center (primary) Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X

Record details

NPI number1700626629
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lawrence Tucker — Owner · (949) 390-4730
NPI enumeratedMay 29, 2024
Last updated in NPPESMay 29, 2024
Certification dateMay 22, 2024
Mailing address66 English Saddle, Irvine, CA 92602-1839

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