Southern California Detox

LBN: Southern California Detox
Southern California Detox is an health care organization with primary practice located at 42012 Dahlia Way , Temecula CA 92591-5356. 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. Southern California Detox can be contacted via phone (714) 854-2026, or through Johnson, David via phone (714) 854-2026.

Contact Information

Primary practice address
42012 Dahlia Way Temecula CA 92591-5356
Phone: (714) 854-2026
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, David
Phone: (714) 854-2026

Health care specialties

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

Profile Details

NPI number 1104255025
LBN Legal business name Southern California Detox
DBA Doing business as
Authorized official Johnson, David
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2013
Last updated May 19th, 2015 - about 11 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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