Organization · Type 2 NPI

Coastal Detox of Southern California LLC

Substance Abuse Rehabilitation Facility · San Diego, CA

NPI number 1003536830 Active

Practice location

2574 Pico Way
San Diego, CA 92109-3811

Call (619) 386-7740 Map

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000XNone listed

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.

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About NPI 1003536830

Coastal Detox of Southern California LLC's National Provider Identifier is 1003536830, issued on Aug 31, 2022. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in San Diego, CA. The record was last updated on Jul 23, 2026.