Organization · Type 2 NPI
South County Addiction Treatment Services, Inc.
Addiction Medicine (Anesthesiology) Physician · San Clemente, CA
NPI number
1821533696
Active
Practice location
148 W Avenida San Antonio
San Clemente, CA 92672-4354
Fax (949) 424-0743
Mailing address
PO Box 3699
San Clemente, CA 92674-3699
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Anesthesiology) Physician Primary | 207LA0401X | A82776 (CA) |
Addiction Medicine (Anesthesiology) Physician: An anesthesiologist who specializes in the diagnosis and treatment of addictions.
About NPI 1821533696
South County Addiction Treatment Services, Inc.'s National Provider Identifier is 1821533696, issued on Jan 3, 2017. The primary taxonomy on file is Addiction Medicine (Anesthesiology) Physician (207LA0401X), and the practice location is in San Clemente, CA. The record was last updated on Jan 3, 2017.