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CAPO COAST DETOX LLC
NPI 1164385225
Substance Abuse Rehabilitation Facility in Capistrano Beach, CA

Active since December 05, 2025
34405 VIA GOMEZ, CAPISTRANO BEACH, CA 92624(949) 359-5669 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 12, 2026, Dec 5, 2025 (2 updates tracked since 2025).

About Capo Coast Detox Llc NPPES

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

CAPO COAST DETOX LLC (NPI 1164385225) is a healthcare organization registered as a substance abuse rehabilitation facility in Capistrano Beach, California and active in the NPI registry since December 2025. The organization lists Matthew Lee, Admin, as its authorized official.

NPPES Registry Identity

NPI1164385225
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameCAPO COAST DETOX LLC
Location Address34405 VIA GOMEZCapistrano Beach, CA 92624-1318
Mailing Address21263 Doubtful Canyon DrCypress, TX 77433-8470
Phone(949) 359-5669
Organization SubpartNo
Authorized OfficialMatthew LeeAdmin · (619) 987-8078
Enumeration DateDecember 5, 2025
Last NPPES UpdateJanuary 12, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2026
✔ NPI 1164385225 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.
34405 VIA GOMEZ, Capistrano Beach, CA 92624
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Other Providers at the Same Location NPPES 2

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

CAPO COAST RECOVERY LLC
Substance Abuse Rehabilitation Facility
34405 VIA GOMEZ
CAPISTRANO BEACH, CA 92624
Orange County (949) 359-5669
HARBOR HEALTH LLC
Substance Abuse Rehabilitation Facility
34405 VIA GOMEZ
CAPISTRANO BEACH, CA 92624
Orange County (949) 359-5669

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 Capo Coast Detox LLC's NPI number?

The NPI number for Capo Coast Detox LLC is 1164385225. It was assigned to this organization in the NPPES registry on December 5, 2025.

Where is Capo Coast Detox LLC located?

Capo Coast Detox LLC is located at 34405 Via Gomez, Capistrano Beach, CA 92624. The listed phone number is (949) 359-5669.

What is Capo Coast 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 Capo Coast Detox LLC was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.