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

Buena Park Rehab

Organization Addiction (Substance Use Disorder) Counselor · NPI 1346934247

Buena Park Rehab is an Addiction (Substance Use Disorder) Counselor in Fullerton, California. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
4
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Practice location Address checks out

515 W Commonwealth Ave Ste 215
Fullerton, CA 92832-1752
Phone: (310) 343-8684
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X
Marriage & Family Therapist Taxonomy 106H00000X

Record details

NPI number1346934247
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mariam Goldberg — Manager · (310) 343-8684
NPI enumeratedJune 5, 2023
Last updated in NPPESNovember 1, 2023
Certification dateNovember 1, 2023
Mailing address515 W Commonwealth Ave Ste 215, Fullerton, CA 92832-1752

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