28TH Street Detox LLC
Substance Abuse Rehabilitation Facility in San Diego, California
1134826688- Practice location
- 1119 28TH St, San Diego, CA 92102-2203
- Phone
- 754-368-1285
- Fax
- —
- Last updated
- February 21, 2023
28TH Street Detox LLC is a healthcare organization based in San Diego, CA. 28TH Street Detox LLC practices in San Diego, CA. The NPI Number for 28TH Street Detox LLC is 1134826688. The current practice location address for 28TH Street Detox LLC is 1119 28TH St, San Diego, CA 92102-2203 and can be reached out via phone at 754-368-1285.
Provider Profile Details
- NPI Number
- 1134826688
- Provider Name
- 28TH Street Detox LLC
- Provider Entity Type
- Organization
- Address
- 1119 28TH St, San Diego, CA 92102-2203
- Phone Number
- 754-368-1285
- Primary Taxonomy
- Substance Abuse Rehabilitation Facility · 324500000X
- Organization Subpart
- No
- Authorized Official
- Sehar Ryan · Coo · 754-368-1285
- Provider Enumeration Date
- February 14, 2023
- Last Update Date
- February 21, 2023
- Certification Date
- February 21, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1119 28TH St
San Diego, CA 92102-2203 - City
- San Diego
- State
- California
- Zip
- 92102-2203
- Phone Number
- 754-368-1285
Provider Business Mailing Address Details
- Address
- 120 N Federal Hwy Ste 101
Lake Worth, FL 33460-3493 - City
- Lake Worth
- State
- FL
- Zip
- 33460-3493
- Phone Number
- 754-368-1285
License Information
- Taxonomy
- Substance Abuse Rehabilitation Facility · 324500000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of 28TH Street Detox LLC?
The NPI number of 28TH Street Detox LLC is 1134826688. It was assigned on February 14, 2023 and is currently active in the NPPES registry.
What is the specialty of 28TH Street Detox LLC?
28TH Street Detox LLC is registered under the primary taxonomy Substance Abuse Rehabilitation Facility (code 324500000X).
Where does 28TH Street Detox LLC practice?
The practice location is 1119 28TH St, San Diego, CA 92102-2203. The office can be reached at 754-368-1285 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134826688 directly on the NPPES registry website.