Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Local 92109 LLC

Organization Substance Use Disorder Rehabilitation Clinic/Center · NPI 1639677768

Local 92109 LLC is a Substance Use Disorder Rehabilitation Clinic/Center in San Diego, California. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1940 Garnet Ave Ste 120
San Diego, CA 92109
Phone: (619) 206-0081
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X

Record details

NPI number1639677768
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Tamai — Executive Assistant · (619) 206-0081
Other names Boardwalk Recovery Center; Boardwalk Recovery Center
NPI enumeratedJanuary 23, 2018
Last updated in NPPESAugust 15, 2018
Mailing address1940 Garnet Ave Ste 120, San Diego, CA 92109-3575

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