28TH Street Detox LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

28TH STREET DETOX LLC

Practice address

1119 28TH St
San Diego, CA 92102-2203

Phone

(754) 368-1285

NPI assigned

Feb 14, 2023

Last updated

Feb 21, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sehar Ryan

Title

Coo

Phone

(754) 368-1285

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1134826688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N FEDERAL HWY STE 101",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334603493",
            "telephone_number": "754-368-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 28TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921022203",
            "telephone_number": "754-368-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "28TH STREET DETOX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "SEHAR",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "754-368-1285"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 1St Choice Pharmacy Management, LLC (Apotheco Pharmacy Choice San Diego)
• 1St Meridian Placement Services, Inc
• 1St Place Community Initiatives
• 24/7 Medical Supply Solutions LLC
• 247 Hospice - San Diego
• 360 Caregivers Home Agency LLC
• 3853 Rosecrans St
• 3D Recovery
• 4 Your Health Massage Center
• 4030 Dental Inc.

• Substance Abuse Rehabilitation Facility in San Diego, CA
• Providers in San Diego, 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 Feb 21, 2023; 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.