So Cal Recovery Centers DP LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

SO CAL RECOVERY CENTERS DP LLC

Practice address

44267 Monterey Ave Ste a&B
Palm Desert, CA 92260-2755

Phone

(949) 481-6156

Fax

(949) 542-3878

NPI assigned

Aug 6, 2019

Last updated

Dec 4, 2019By 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

Mr. Lindsey Myers

Title

Ceo

Phone

(949) 481-6156

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575417600000",
    "number": "1215582234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34249 CAMINO CAPISTRANO STE 101",
            "city": "CAPISTRANO BEACH",
            "state": "CA",
            "postal_code": "926241156",
            "telephone_number": "949-481-6156",
            "fax_number": "949-542-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44267 MONTEREY AVE STE A&B",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922602755",
            "telephone_number": "949-481-6156",
            "fax_number": "949-542-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SO CAL RECOVERY CENTERS DP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-06",
        "last_updated": "2019-12-04",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-481-6156",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CALIFORNIA",
            "identifier": "330018AP",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D2152160",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Eileen Smith
• Niesha Smith, SLPA
• Renee M Smith, DPT
• Erin Snow, MFTI
• Melissa Yuki Snyder, PHD, LMFT
• Paul Sok, DPT
• Joel M Solano, M.D.
• Karla Solis, D.D.S.
• Michael R Solomon, MD
• Soniya Patidar DMD PC (Desert Dental Spa)

• Substance Use Disorder Rehabilitation Clinic/Center in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.