Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KULA DETOX LLC
NPI 1184541385
Substance Abuse Rehabilitation Facility in San Diego, CA

Active since June 30, 2026
4417 CARLING DR, SAN DIEGO, CA 92115(619) 856-6569 Get Directions Write a Review

NPPES record added: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kula Detox Llc NPPES

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

KULA DETOX LLC (NPI 1184541385) is a healthcare organization registered as a substance abuse rehabilitation facility in San Diego, California and active in the NPI registry since June 2026. The organization lists Shannan Wilson, President, as its authorized official.

NPPES Registry Identity

NPI1184541385
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameKULA DETOX LLC
Location Address4417 CARLING DRSan Diego, CA 92115-5527
Mailing Address2261 Market St Ste 24675San Francisco, CA 94114-1612 · (619) 856-6569
Organization SubpartNo
Authorized OfficialShannan WilsonPresident · (619) 842-2240
Enumeration DateJune 30, 2026
NPPES CertifiedJune 30, 2026
NPI 1184541385 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.
4417 CARLING DR, San Diego, CA 92115

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 Kula Detox LLC's NPI number?

The NPI number for Kula Detox LLC is 1184541385. It was assigned to this organization in the NPPES registry on June 30, 2026.

Where is Kula Detox LLC located?

Kula Detox LLC is located at 4417 Carling Dr, San Diego, CA 92115. The listed phone number is (619) 856-6569.

What is Kula 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 Kula Detox LLC was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.