Dana Point Detox LLC
Dana Point Detox LLC is a Clinical Medical Laboratory in Dana Point, California. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
24832 La Paz Ave Apt BDana Point, CA 92629-5398
Phone: (949) 359-5662
Fax: (949) 542-3878
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Abuse Rehabilitation Facility (primary) | Taxonomy 324500000X |
|---|---|
| Clinical Medical Laboratory | Taxonomy 291U00000X |
Record details
| NPI number | 1598392417 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Nathaniel Izzo — Admin · (949) 359-5662 |
| NPI enumerated | March 23, 2020 |
| Last updated in NPPES | June 9, 2020 |
| Certification date | June 9, 2020 |
| Mailing address | 24832 La Paz Ave Apt B, Dana Point, CA 92629-5398 |
Other providers in Dana Point
-
Ims Services LLC
24832 La Paz Ave A & B, Dana Point, CA 92629-5398 · (949) 359-5669