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SAN DIEGO STUDENT RECOVERY, LLC
NPI 1730552084
Clinic/Center - Rehabilitation, Substance Use Disorder in San Diego, CA

Active since November 09, 2015
5440 MOREHOUSE DR STE 4500, SAN DIEGO, CA 92121(818) 415-3456 Get Directions Write a Review

NPPES record last updated: November 9, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder

About SAN DIEGO STUDENT RECOVERY, LLC

This page provides the complete NPI Profile along with additional information for San Diego Student Recovery, Llc, a provider established in San Diego, California operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1730552084 assigned on November 2015. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Robert Pfeifer (Ceo)

NPI
1730552084 Verify this NPI
Provider Name
SAN DIEGO STUDENT RECOVERY, LLC
Entity Type
Organization
Location Address
5440 MOREHOUSE DR STE 4500 SAN DIEGO, CA 92121
Location Phone
(818) 415-3456
Mailing Address
5440 MOREHOUSE DR STE 4500 SAN DIEGO, CA 92121
Mailing Phone
(818) 415-3456
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-09-2015
Last Update Date
11-09-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ROBERT PFEIFER

Authorized Official Title
CEO
Authorized Official Phone
(818) 415-3456

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Frequently Asked Questions

What is SAN DIEGO STUDENT RECOVERY, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1730552084, enumerated as an "organization" on November 09, 2015.

Where is the provider located?

The provider is located at 5440 MOREHOUSE DR STE 4500 SAN DIEGO, CA 92121 and the phone number is (818) 415-3456.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.