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

Pacific Coast Detox LLC

Organization Substance Abuse Rehabilitation Facility · NPI 1063375129

Pacific Coast Detox LLC is a Substance Abuse Rehabilitation Facility in San Clemente, California. Registered with an NPI since 2025.

In the registry since
2025
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

184 Avenida La Cuesta
San Clemente, CA 92672-3142
Phone: (949) 359-5669
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X

Record details

NPI number1063375129
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Lee — Admin · (619) 987-8078
NPI enumeratedDecember 5, 2025
Last updated in NPPESJanuary 12, 2026
Certification dateJanuary 12, 2026
Mailing address21263 Doubtful Canyon Dr, Cypress, TX 77433-8470

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