Chemical Dependency & Pain Recovery of Ca, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

370123BP Issued in CA

Legal business name

CHEMICAL DEPENDENCY & PAIN RECOVERY OF CA, LLC

Practice address

4241 Jutland Dr
Suite 103
San Diego, CA 92117-3663

Phone

(858) 490-3460

Fax

(858) 490-3462

NPI assigned

Jan 28, 2011

Organization subpart

No

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

Authorized official

Name

Mr. James Reed

Title

Operations Manager

Phone

(858) 490-3460

Specialties & licenses 1

Addresses

Other names 1

• Bay Recovery Doing business as

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296172800000",
    "number": "1487950002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4241 JUTLAND DR",
            "address_2": "SUITE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921173663",
            "telephone_number": "858-490-3460",
            "fax_number": "858-490-3462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4241 JUTLAND DR",
            "address_2": "SUITE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921173663",
            "telephone_number": "858-490-3460",
            "fax_number": "858-490-3462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEMICAL DEPENDENCY & PAIN RECOVERY OF CA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-28",
        "last_updated": "2011-01-28",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "858-490-3460",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "370123BP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathryn Cheely, LCSW
• Mahshid Chehrehrazi
• Sokorn Chek
• Bailey Lee Chelemedos, DDS
• Gayathri Chelvakumar, M.D.
• Lin L Chen-Peng, PHARM.D.
• Alan Hsiang-Shang Chen, DDS
• Alice Ann Chen, RN
• Alice I-CHI Chen, DO
• Alice Yi-Chun Chen, MD

• All providers in San Diego, CA
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.