Southern California Detox

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SOUTHERN CALIFORNIA DETOX

Practice address

42012 Dahlia Way
Temecula, CA 92591-5356

Phone

(714) 854-2026

NPI assigned

Nov 1, 2013

Organization subpart

No

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

Authorized official

Name

Mr. David Johnson

Title

Ceo

Phone

(714) 854-2026

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431993600000",
    "number": "1104255025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42012 DAHLIA WAY",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915356",
            "telephone_number": "714-854-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42012 DAHLIA WAY",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915356",
            "telephone_number": "714-854-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA DETOX",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-01",
        "last_updated": "2015-05-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-854-2026",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern California Addiction Center
• Southern California Addiction Center
• Southern California Addiction Center
• Southern California Addiction Center
• Southern California Addiction Center
• Southern California Internal Medicine Group
• Southern California Internal Medicine, Inc.
• Southland Arthrites and Osteoporosis Medical Center Inc
• Southland Marriage and Family
• Southland Medical Supply

• Substance Abuse Rehabilitation Facility in Temecula, CA
• Providers in Temecula, 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 May 19, 2015; 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.