Provider Demographics
NPI:1730781113
Name:ASANA RECOVERY
Entity type:Organization
Organization Name:ASANA RECOVERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HUMAN RESOURCES MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:YESENIA
Authorized Official - Middle Name:
Authorized Official - Last Name:UMANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-999-2242
Mailing Address - Street 1:1730 POMONA AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92627-3628
Mailing Address - Country:US
Mailing Address - Phone:310-999-2242
Mailing Address - Fax:
Practice Address - Street 1:9612 INDIAN WELLS CIR
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92646-7577
Practice Address - Country:US
Practice Address - Phone:310-999-2242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-11
Last Update Date:2021-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder