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SO CAL RECOVERY CENTERS DP LLC NPI 1215582234


NPI Information

NPI: 1215582234
Provider Name: SO CAL RECOVERY CENTERS DP LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
44267 MONTEREY AVE STE A&B
PALM DESERT, CA
ZIP 92260
Phone: (949) 481-6156
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SO CAL RECOVERY CENTERS DP LLC is a rehabilitation and substance use disorder clinic center in Palm Desert, CA. SO CAL RECOVERY CENTERS DP LLC NPI is 1215582234. The provider is registered as an organization entity type.

The provider's business location address is:

44267 MONTEREY AVE STE A&B
PALM DESERT, CA
ZIP 92260-755
Phone: (949) 481-6156
Fax: (949) 542-3878

The provider's authorized official is Lindsey Myers .
The authorized official title is Ceo and has the following contact phone number (949) 481-6156.

The enumeration date for this NPI number is 8/6/2019 and was last updated on 12/4/2019.


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
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes
2291U00000XClinical Medical LaboratoryNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1330018APOTHERCALIFORNIASTATE OF CALIFORNIA
205D2152160OTHERCLIA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.