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

Pacific Manor Recovery LLC

Organization Substance Abuse Rehabilitation Facility · NPI 1639789035

Pacific Manor Recovery LLC is a Substance Abuse Rehabilitation Facility in Riverside, California. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3686 Pacific Ave
Riverside, CA 92509-1948
Phone: (888) 700-5053
Fax: (949) 209-5490
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X

Record details

NPI number1639789035
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tanisha Porreca — Assistant To Ceo · (828) 773-4477
NPI enumeratedJuly 31, 2020
Last updated in NPPESAugust 30, 2021
Certification dateAugust 30, 2021
Mailing address3151 Airway Ave Ste E1, Costa Mesa, CA 92626-4620

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