Pacific Coast Detox LLC
NPI #1063375129 in San Clemente, California
Provider Information
- NPI Number
- 1063375129
- Entity Type
- Organization
- Organization Name
- Pacific Coast Detox LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Dec 5, 2025
- Last Updated
- Jan 12, 2026
Practice Location
- Address
- 184 AVENIDA LA CUESTA
- City
- San Clemente
- State
- California
- ZIP Code
- 92672-3142
- Phone
- (949) 359-5669
Authorized Official
- Name
- MATTHEW LEE
- Title
- ADMIN
- Phone
- (619) 987-8078
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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