SOBER LIFE RECOVERY SOLUTIONS LLC NPI 1083586523

NPI Information

  • NPI: 1083586523
  • Provider Name: SOBER LIFE RECOVERY SOLUTIONS LLC
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Address: 8619 JACKIE DR
    SAN DIEGO, CA
    ZIP 92119
  • Phone: (619) 542-9542

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NPI Details

SOBER LIFE RECOVERY SOLUTIONS LLC is a rehabilitation and substance use disorder clinic center in San Diego, CA. SOBER LIFE RECOVERY SOLUTIONS LLC NPI is 1083586523. The provider is registered as an organization entity type.

The provider's business location address is:

8619 JACKIE DR
SAN DIEGO, CA
ZIP 92119-414
Phone: (619) 542-9542
Fax: (619) 566-4979

The provider's authorized official is Bryan Amaro .
The authorized official title is Ceo and has the following contact phone number (619) 542-9542.

The enumeration date for this NPI number is 9/23/2025 and was last updated on 9/23/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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