Detox Center Of San Diego Llc

LBN: Detox Center Of San Diego Llc
Detox Center Of San Diego Llc is an health care organization with primary practice located at 2574 Pico Way , San Diego CA 92109-3811. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Detox Center Of San Diego Llc can be contacted via phone (949) 836-6793, or through Cornejo, Mercedes via phone (619) 386-7740.

Contact Information

Primary practice address
2574 Pico Way San Diego CA 92109-3811
Phone: (949) 836-6793
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cornejo, Mercedes
Phone: (619) 386-7740

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1003536830
LBN Legal business name Detox Center Of San Diego Llc
DBA Doing business as
Authorized official Cornejo, Mercedes
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2022
Last updated Aug 31st, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003536830 NPPES
California Other 370207AP DHCS

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