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28TH STREET DETOX LLC
NPI 1134826688
Substance Abuse Rehabilitation Facility in San Diego, CA

Active since February 14, 2023
1119 28TH ST, SAN DIEGO, CA 92102(754) 368-1285 Get Directions Write a Review

NPPES record last updated: February 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 21, 2023, Feb 14, 2023 (2 updates tracked since 2023).

About 28th Street Detox Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

28TH STREET DETOX LLC (NPI 1134826688) is a healthcare organization registered as a substance abuse rehabilitation facility in San Diego, California and active in the NPI registry since February 2023. The organization lists Sehar Ryan, Coo, as its authorized official.

NPPES Registry Identity

NPI1134826688
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business Name28TH STREET DETOX LLC
Location Address1119 28TH STSan Diego, CA 92102-2203
Mailing Address120 N Federal Hwy Ste 101Lake Worth, FL 33460-3493 · (754) 368-1285
Phone(754) 368-1285
Organization SubpartNo
Authorized OfficialSehar RyanCoo · (754) 368-1285
Enumeration DateFebruary 14, 2023
Last NPPES UpdateFebruary 21, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2023
✔ NPI 1134826688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
1119 28TH ST, San Diego, CA 92102
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAN DIEGO INTERMEDIATE CARE CENTER
Nursing Facility/Intermediate Care Facility
1119 28TH ST
SAN DIEGO, CA 92102
San Diego County (619) 233-7281

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 28th Street Detox LLC's NPI number?

The NPI number for 28th Street Detox LLC is 1134826688. It was assigned to this organization in the NPPES registry on February 14, 2023.

Where is 28th Street Detox LLC located?

28th Street Detox LLC is located at 1119 28th St, San Diego, CA 92102. The listed phone number is (754) 368-1285.

What is 28th Street Detox LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for 28th Street Detox LLC was last updated on February 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.