SAN DIEGO DETOX


Address: 9440 Pats Point Dr, Corona, CA 92883-5014
Phone: 9513197995

SAN DIEGO DETOX (NPI# 1578084257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578084257
Entity Type Organization
Organization Name SAN DIEGO DETOX
Practice Address 9440 Pats Point Dr
Corona
CA 92883-5014
Mailing Address Po Box 51310
Los Angeles
CA 90051-5610
Practice Telephone 9513197995
Mailing Telephone 8552775363
Enumeration Date 2017-07-03
Last Update Date 2017-07-28
Authorized Official Name MR. JASON MONROE (COO)
Authorized Official Telephone 6025502211
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1043768484 San Diego Detox Substance Abuse Rehabilitation Facility 9480 Pats Point Dr, Corona, CA 92883-5014 2016-09-14

Office Location

Street Address 9440 PATS POINT DR
City CORONA
State CA
Zip Code 92883-5014

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376186718 Daylight Recovery Services Substance Abuse Rehabilitation Facility 9440 Pats Point Dr, Corona, CA 92883-5014 2019-10-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710496815 Onyinye Yvonne Johnson Nurse Practitioner 27223 Lasso Way, Corona, CA 92883 2017-09-21
1215376850 Jennifer Carol Bard Speech-Language Pathologist 4194 Floyd Drive, Corona, CA 92883 2013-06-17
1023359619 Richard Joon Kim Pharmacist 4315 Driving Range Rd, Corona, CA 92883 2013-03-07
1740590330 Kim-thoa Thi Vu Pharmacist 2243 Eagle Glen Parkway, Corona, CA 92883 2010-10-15
1114232154 Always 'tfy' Hospice, Inc. Hospice Care, Community Based 9064 Pulsar Court, Ste E, Corona, CA 92883 2010-08-14
1952553844 Garfield Beach Cvs LLC Durable Medical Equipment & Medical Supplies 11950 Depalma Rd, Corona, CA 92883 2008-10-22
1497979280 Sang C Paik Dds Dentist 3811 Bedford Canyon Rd, Suite 105, Corona, CA 92883 2007-04-12
1285615864 Mallory Leon Family Medicine 25085 Pacific Crest Street, Corona, CA 92883 2005-11-09
1326038993 Chan Woo Lee Optometrist 2790 Cabot Drive, Suite 135, Corona, CA 92883 2005-10-25
1659575736 Optique Optometry, A Professional Corporation Optometrist 2790 Cabot Drive, Suite 135, Corona, CA 92883 2007-06-13
Find all providers in zip 92883

Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295377570 Daylight Recovery Services, LLC Substance Abuse Rehabilitation Facility 518 Queensland Cir Ste 101, Corona, CA 92879-1381 2019-10-08
1306355144 Ridgeview Recovery LLC Substance Abuse Rehabilitation Facility 1216 Cleveland Way, Corona, CA 92881-5906 2017-09-25
1083136188 Blvd Centers, Inc. Substance Abuse Rehabilitation Facility 518 Queensland Cir, Corona, CA 92879-1381 2017-07-10
1043768484 San Diego Detox Substance Abuse Rehabilitation Facility 9480 Pats Point Dr, Corona, CA 92883-5014 2016-09-14
1265888622 Casa Contenta Recovery Group, Inc. Substance Abuse Rehabilitation Facility 8431 Weirick Rd, Corona, CA 92883-4994 2016-05-04
1225409584 Reflections Recovery, LLC Substance Abuse Rehabilitation Facility 630 Gregory Cir, Corona, CA 92881-3596 2015-10-13
1043698509 Darlene Leon Substance Abuse Rehabilitation Facility 13757 Aspen Leaf Ln, Corona, CA 92880-0721 2015-05-15
1376186718 Daylight Recovery Services Substance Abuse Rehabilitation Facility 9440 Pats Point Dr, Corona, CA 92883-5014 2019-10-17
1922640580 Daylight Recovery Services, LLC Substance Abuse Rehabilitation Facility 9480 Pats Point Dr, Corona, CA 92883-5014 2019-10-15
1174994305 Elmcor Youth and Adult Activities Substance Abuse Rehabilitation Facility 10720 Northern Blvd, Corona, NY 11368-1236 2015-10-14
Find all providers in CORONA

Competitor

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City CORONA
Zip Code 92883

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Dataset Information

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.

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