Inland Detox, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

330150AP Issued in CA

Legal business name

INLAND DETOX, INC.

Practice address

35200 Linda Rosea Rd
Temecula, CA 92592-9531

Phone

(951) 813-2597

NPI assigned

May 26, 2016

Last updated

Dec 20, 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

Erich Portigal

Title

Vice President

Phone

(951) 813-2597

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1174971493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25819 JEFFERSON AVE STE 130",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925626965",
            "telephone_number": "951-813-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35200 LINDA ROSEA RD",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925929531",
            "telephone_number": "951-813-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND DETOX, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-26",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "PORTIGAL",
        "authorized_official_first_name": "ERICH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "951-813-2597"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "330150AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Infinity Health Services, Inc. (Inland Valley Home Health)
• Ryan Michael Inglehart, DC
• Alexa Ingram, M.S. CCC-SLP
• Robert James Ingram, DC
• Inland Artificial Limb & Brace
• Inland Empire Medical Diagnostics
• Inland Empire Springs Charter School
• Inland Eye Specialists a Medical Corp (Inland Eye Specialists)
• Inland Pacific Medical Partners PC
• Inland Psychiatric Medical Group, Inc

• 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 Dec 20, 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.