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

Physician Nutraceutical Research, Inc

Organization Substance Abuse Rehabilitation Facility · NPI 1154627925

Physician Nutraceutical Research, Inc is a Substance Abuse Rehabilitation Facility in San Clemente, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

140 Avenida Algodon #A B & C
San Clemente, CA 92672-4182
Phone: (888) 508-3371
Fax: (949) 481-7063
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X · Licence 300189AP (CA)
Substance Abuse Rehabilitation Facility Taxonomy 324500000X · Licence 300189BP (CA)
Substance Abuse Rehabilitation Facility Taxonomy 324500000X · Licence 300189CP (CA)

Record details

NPI number1154627925
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Willa Lilly — Executive Director · (888) 508-3371
Other names Dr. Willa'S House
NPI enumeratedJanuary 26, 2011
Last updated in NPPESJanuary 26, 2011
Mailing address140 Avenida Algodon, A, B & C, San Clemente, CA 92672-4182

Other providers in San Clemente