Dana Point Detox Llc
LBN: Dana Point Detox Llc
Dana Point Detox Llc is an health care organization with primary practice located at 24832 La Paz Ave Apt B , Dana Point CA 92629-5398. The organization recently has 2 registered licenses in different health care specialties including Laboratories / Clinical Medical Laboratory, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty.
Dana Point Detox Llc can be contacted via phone (949) 359-5662, or through Izzo, Nathaniel via phone (949) 359-5662.
Contact Information
Primary practice address
24832 La Paz Ave Apt B
Dana Point CA 92629-5398
Phone: (949) 359-5662
Fax: (949) 542-3878
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Laboratories / Clinical Medical Laboratory | 291U00000X | ||
| Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X |
Profile Details
| NPI number | 1598392417 |
|---|---|
| LBN Legal business name | Dana Point Detox Llc |
| DBA Doing business as | |
| Authorized official | Izzo, Nathaniel |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 23rd, 2020 |
| Last updated | Jun 9th, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598392417 | NPPES |
| California | Other | 300392AP | STATE OF CA |
| California | Other | 05D2183497 | STATE OF CA |
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