Active NPI
Orange County Detox LLC
- Substance Abuse Rehabilitation Facility
- Laguna Hills, CA
National Provider Identifier
1902589013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- ORANGE COUNTY DETOX LLC
- Practice address
- 25842 Elderbrook LN
Laguna Hills, CA 92653-6515 - Phone
- (949) 500-7286
- NPI assigned
- Aug 8, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel Leiderman
- Title
- Program Administrator
- Phone
- (858) 395-3696
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
25842 Elderbrook LN
Laguna Hills, CA 92653-6515
Mailing address
25842 Elderbrook LN
Laguna Hills, CA 92653-6515
Phone (949) 500-7286
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2310046 | Orange County Detox LLC | Certificate of waiver | Aug 25, 2026 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728950400000",
"number": "1902589013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25842 ELDERBROOK LN",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926536515",
"telephone_number": "949-500-7286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25842 ELDERBROOK LN",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926536515",
"telephone_number": "949-500-7286"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORANGE COUNTY DETOX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-08",
"last_updated": "2024-10-15",
"certification_date": "2024-10-15",
"status": "A",
"authorized_official_last_name": "LEIDERMAN",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "PROGRAM ADMINISTRATOR",
"authorized_official_telephone_number": "858-395-3696"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Hills, CA
- Orange Coast Home Care
- Orange Coast Homecare, LLC
- Orange Coast Women'S Medical Group
- Orange County Association for Mental Health
- Orange County Comfort Care, LLC
- Orange County Functional & Integrative Medicine
- Orange County Health Care Agency
- Orange County Orthopaedics & Sports Medical Group, Inc
- Orange County Palliative Care Group, a Professional Medical Corp
- Orange County Professional Hearing & Speech Associates, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.