West Coast Detox, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

300228AP Issued in CA

Legal business name

WEST COAST DETOX, INC.

Practice address

6381 Yale Cir
Huntington Beach, CA 92647-2557

Phone

(866) 448-2723

Fax

(866) 703-9903

NPI assigned

Jul 19, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Reiner Nusbaum

Title

Insurance Coordinator

Phone

(949) 235-8258

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311033600000",
    "number": "1063700433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6381 YALE CIR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926472557",
            "telephone_number": "866-448-2723",
            "fax_number": "866-703-9903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6381 YALE CIR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926472557",
            "telephone_number": "866-448-2723",
            "fax_number": "866-703-9903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST DETOX, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-19",
        "last_updated": "2011-07-19",
        "status": "A",
        "authorized_official_last_name": "NUSBAUM",
        "authorized_official_first_name": "REINER",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "949-235-8258"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300228AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.