Provider Demographics
NPI:1639791627
Name:ALTIGNIS HEALTH LLC
Entity type:Organization
Organization Name:ALTIGNIS HEALTH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:L
Authorized Official - Last Name:DUENSING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-877-2419
Mailing Address - Street 1:34270 PACIFIC COAST HWY STE C
Mailing Address - Street 2:
Mailing Address - City:DANA POINT
Mailing Address - State:CA
Mailing Address - Zip Code:92629-2847
Mailing Address - Country:US
Mailing Address - Phone:949-877-2419
Mailing Address - Fax:949-308-7789
Practice Address - Street 1:31642 COAST HWY STE 102
Practice Address - Street 2:
Practice Address - City:LAGUNA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92651-7017
Practice Address - Country:US
Practice Address - Phone:310-402-4960
Practice Address - Fax:888-965-9813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-12
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA656620OtherTHE JOINT COMMISSION
CA300396APOtherDEPARTMENT OF HEALTH CARE SERVICES