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WEST COAST DETOX LLC
NPI 1215873724
Substance Abuse Rehabilitation Facility in Corona, CA

Active since April 27, 2026CLIA Certified · 2 labs
1180 CLEVELAND WAY, CORONA, CA 92881(866) 758-2862 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About West Coast Detox Llc NPPES

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

WEST COAST DETOX LLC (NPI 1215873724) is a healthcare organization registered as a substance abuse rehabilitation facility in Corona, California and active in the NPI registry since April 2026. The organization holds 2 active CLIA laboratory certificates and lists Bianca Mladinich, Cfo, as its authorized official.

NPPES Registry Identity

NPI1215873724
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameWEST COAST DETOX LLC
Location Address1180 CLEVELAND WAYCorona, CA 92881-5905
Mailing Address3225 Bighorn CirCorona, CA 92881-8747 · (866) 758-2862
Phone(866) 758-2862
Organization SubpartYes
Authorized OfficialBianca MladinichCfo · (714) 341-7749
Enumeration DateApril 27, 2026
NPPES CertifiedApril 27, 2026
✔ NPI 1215873724 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.
1180 CLEVELAND WAY, Corona, CA 92881
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CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2305898

West Coast Detox LLC · Corona, CA
Active · expires Jun 6, 2028
CLIA Number05D2305898
Laboratory TypeBehav Hlth Care Facility
Certificate Effective DateJune 7, 2026
Certificate Expiration DateJune 6, 2028
Laboratory DirectorSanjai M. Thankachen
Laboratory Phone(714) 341-7749
Laboratory LocationWest Coast Detox LLC3225 Bighorn Circle, Corona, CA 92881
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2343281

West Coast Detox LLC · Corona, CA
Active · expires May 3, 2028
CLIA Number05D2343281
Laboratory TypeBehavioral Health Care Fa
Certificate Effective DateMay 4, 2026
Certificate Expiration DateMay 3, 2028
Laboratory DirectorSanjai Thankachen
Laboratory Phone(714) 341-7749
Laboratory LocationWest Coast Detox LLC1180 Cleveland Way, Corona, CA 92881
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 West Coast Detox LLC's NPI number?

The NPI number for West Coast Detox LLC is 1215873724. It was assigned to this organization in the NPPES registry on April 27, 2026.

Where is West Coast Detox LLC located?

West Coast Detox LLC is located at 1180 Cleveland Way, Corona, CA 92881. The listed phone number is (866) 758-2862.

What is West Coast Detox LLC's specialty?

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

Does West Coast Detox LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for West Coast Detox LLC was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.