Prosperous Health Imperial Beach, LLC

Organization Substance Use Disorder Rehabilitation Clinic/Center · NPI 1124826011

Prosperous Health Imperial Beach, LLC is a Substance Use Disorder Rehabilitation Clinic/Center in Imperial Beach, California. Works from 2 locations. Registered with an NPI since 2025.

In the registry since: 2025
Specialties on file: 2

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

107 Daisy Ave
Imperial Beach, CA 91932
Phone: (833) 364-4722

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

Additional practice locations (1)

109 Daisy Ave, Imperial Beach, CA 91932 — (833) 364-4722

Specialties & licences

Substance Abuse Rehabilitation Facility (primary)	Taxonomy 324500000X
Substance Use Disorder Rehabilitation Clinic/Center	Taxonomy 261QR0405X

Record details

NPI number	1124826011
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Jerry Shirey — President · (619) 669-3295
NPI enumerated	March 5, 2025
Last updated in NPPES	June 23, 2025
Certification date	June 2, 2025
Mailing address	9909 Huennekens St Ste 110, San Diego, CA 92121-2928