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

Pat Moore Detox, LLC

Organization Substance Abuse Rehabilitation Facility · NPI 1245657873

Pat Moore Detox, LLC is a Substance Abuse Rehabilitation Facility in Costa Mesa, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
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

536 Hamilton St Units A B And C
Costa Mesa, CA 92627-2617
Phone: (949) 646-2830
Fax: (949) 646-3028
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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 · Licence 300274AP (CA)

Record details

NPI number1245657873
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSprout Health, LLC
Authorized official Arel Meister-Aldama — Owner · (914) 960-0080
NPI enumeratedMarch 20, 2014
Last updated in NPPESMarch 20, 2014
Mailing address536 Hamilton St, Units A, B And C, Costa Mesa, CA 92627-2617

Other providers in Costa Mesa