WEST COAST DETOX, INC. (NPI# 1063700433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063700433 |
| Entity Type | Organization |
| Organization Name | WEST COAST DETOX, INC. |
| Practice Address |
6381 Yale Cir Huntington Beach CA 92647-2557 |
| Practice Telephone | 8664482723 |
| Practice Fax Number | 8667039903 |
| Mailing Telephone | 8664482723 |
| Mailing Fax Number | 8667039903 |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2011-07-19 |
| Authorized Official Name | REINER NUSBAUM (INSURANCE COORDINATOR) |
| Authorized Official Telephone | 9492358258 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 300228AP | CA | Residential Treatment Facilities |
| Street Address |
6381 YALE CIR |
| City | HUNTINGTON BEACH |
| State | CA |
| Zip Code | 92647-2557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417464231 | Patricia Michelle Ramsey | Counselor | 16761 Viewpoint Lane, Apt 386, Huntington Beach, CA 92647 | 2018-01-02 |
| 1780103390 | Luz Flores | Health Educator | 8041 Newman Avenue, Hungtington Beach, CA 92647 | 2017-09-14 |
| 1134649106 | Louise Polzel | Social Worker | 17111 Beach Blvd St 205, Huntington Beach, CA 92647 | 2017-06-21 |
| 1205364015 | Chi Hong Nguyen | Family Medicine | 8201 Newman Ave 101, Huntington, CA 92647 | 2017-05-24 |
| 1396281770 | Sandra Vera | Specialist/Technologist | 7812 Edinger Ave. #400, Huntington Beach, CA 92647 | 2017-01-10 |
| 1245773050 | Sherika Benjamin | Technician, Pathology | 8211 San Angelo Drive Suit #f2, Huntington Beach, CA 92647 | 2016-11-28 |
| 1306389440 | Nhi Pham Nguyen | Behavioral Analyst | 17732 Beach Blvd., Suite G, Huntington Beach, CA 92647 | 2016-11-21 |
| 1710345095 | Pacific Beach Medical Group, Inc. | Internal Medicine | 16111 Beach Blvd., Huntington Beach, CA 92647 | 2016-02-02 |
| 1699148494 | Daniel Bui | Dentist | 16900-a Goldenwest St, Huntington Beach, CA 92647 | 2015-11-03 |
| 1598132359 | Hayley Patricia Buchanan | Specialist/Technologist | 23441 S. Pointe Drive, Suite 245, Laguna Hills, ORANGE COUNTY 92647 | 2015-08-27 |
| Find all providers in zip 92647 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932727914 | Double Helix Sober Living Solutions, Inc. | Substance Abuse Rehabilitation Facility | 8781 Albatross Dr, Huntington Beach, CA 92646-3302 | 2020-07-07 |
| 1730702838 | Smart-r Inc | Substance Abuse Rehabilitation Facility | 1355 Delaware St Apt 106, Huntington Beach, CA 92648-3734 | 2020-05-22 |
| 1154957967 | Beach House Retreat | Substance Abuse Rehabilitation Facility | 628 11th St, Huntington Beach, CA 92648-4032 | 2020-03-13 |
| 1467915462 | Hotel California By The Sea, LLC | Substance Abuse Rehabilitation Facility | 18801 Flagstaff Ln, Huntington Beach, CA 92646-1906 | 2019-04-08 |
| 1861955866 | Hotel California By The Sea, LLC | Substance Abuse Rehabilitation Facility | 19371 Worchester Ln, Huntington Beach, CA 92646-2045 | 2019-04-08 |
| 1851853956 | Hotel California By The Sea, LLC | Substance Abuse Rehabilitation Facility | 19671 Ditmar Ln, Huntington Beach, CA 92646-3111 | 2019-04-05 |
| 1497221394 | Axion Detox | Substance Abuse Rehabilitation Facility | 6272 Farinella Dr, Huntington Beach, CA 92647-4220 | 2018-10-17 |
| 1568946192 | Rise Again Recovery Inc. | Substance Abuse Rehabilitation Facility | 20681 Chaucer Ln, Huntington Beach, CA 92646-5809 | 2018-09-19 |
| 1326525361 | Gold Standard Recovery Services, LLC | Substance Abuse Rehabilitation Facility | 2319 Whitesands Dr Unit 3 & 4, Huntington Beach, CA 92648 | 2018-07-23 |
| 1437644457 | Beachview Treatment, LLC | Substance Abuse Rehabilitation Facility | 302 18th St, Huntington Beach, CA 92648-3802 | 2018-06-22 |
| Find all providers in HUNTINGTON BEACH | ||||
| City | HUNTINGTON BEACH |
| Zip Code | 92647 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.