LA JOLLA REHAB LLC
NPI 1255174264
Clinic/Center - Rehabilitation, Substance Use Disorder in San Diego, CA
About La Jolla Rehab Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LA JOLLA REHAB LLC (NPI 1255174264) is a healthcare organization registered as a rehabilitation, substance use disorder in San Diego, California and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through July 22, 2028 and lists Shaina Donner, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA
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 05D2308224
La Jolla Rehab LLC · San Diego, CAFrequently 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 La Jolla Rehab LLC's NPI number?
The NPI number for La Jolla Rehab LLC is 1255174264. It was assigned to this organization in the NPPES registry on June 17, 2024.
Where is La Jolla Rehab LLC located?
La Jolla Rehab LLC is located at 5755 Oberlin Dr Ste 200, San Diego, CA 92121. The listed phone number is (310) 343-8684.
What is La Jolla Rehab LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.
Does La Jolla Rehab LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2308224) is associated with this NPI, valid through July 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for La Jolla Rehab LLC was last updated on June 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# La Jolla Rehab Llc · NPI 1255174264
Rehabilitation, Substance Use Disorder organization in San Diego, California. Organization record, active in the CMS NPPES registry since June 17, 2024.
## Identity
- **NPI:** 1255174264 (Entity type: Organization)
- **Enumerated:** June 17, 2024
- **Primary specialty:** Clinic/Center - Rehabilitation, Substance Use Disorder · taxonomy 261QR0405X
- **Organization subpart:** No
- **Authorized official:** Shaina Donner, OWNER
## Practice location
- **Address:** 5755 OBERLIN DR STE 200, San Diego, CA 92121-4716
- **Phone:** (310) 343-8684
## Record status
- **NPPES last updated:** June 21, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1255174264) · Data from the CMS NPPES public registry.