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INLAND DETOX INC. NPI 1174971493


NPI Information

NPI: 1174971493
Provider Name: INLAND DETOX, INC.
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 05D2297203

Address:
35200 LINDA ROSEA RD
TEMECULA, CA
ZIP 92592
Phone: (951) 813-2597
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INLAND DETOX, INC. is a substance abuse rehabilitation facility in Temecula, CA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. INLAND DETOX, INC. NPI is 1174971493. The provider is registered as an organization entity type.

The provider's business location address is:

35200 LINDA ROSEA RD
TEMECULA, CA
ZIP 92592-531
Phone: (951) 813-2597

The provider's authorized official is Erich Portigal .
The authorized official title is Vice President and has the following contact phone number (951) 813-2597.

The CLIA number assigned to this NPI record is 05D2297203 - other - substance abuse treat with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/26/2016 and was last updated on 12/20/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation Facility330150APCALIFORNIAYes

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: 4/28/2024

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