Coastal Detox of Southern California LLC
NPI 1003536830 · Substance Abuse Rehabilitation Facility · San Diego, CA
Coastal Detox of Southern California LLC is a Substance Abuse Rehabilitation Facility organization in San Diego, CA (NPI 1003536830).
Provider details
- NPI number
- 1003536830
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Mercedes Cornejo, Ceo(619) 386-7740
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-08-31
- Last updated
- 2025-05-30
- Certified
- 2025-05-30
Frequently asked questions
- What is Coastal Detox of Southern California LLC's NPI number?
- Coastal Detox of Southern California LLC's National Provider Identifier (NPI) is 1003536830, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coastal Detox of Southern California LLC?
- Coastal Detox of Southern California LLC is classified in the NPPES registry as Substance Abuse Rehabilitation Facility (Residential Treatment Facilities).
- Where is Coastal Detox of Southern California LLC located?
- Coastal Detox of Southern California LLC's practice location on file with NPPES is 2574 Pico Way, San Diego, CA 92109-3811.
- What is Coastal Detox of Southern California LLC's phone number?
- The practice phone number listed in the NPPES registry for Coastal Detox of Southern California LLC is (619) 386-7740.
- Who is the authorized official for Coastal Detox of Southern California LLC?
- The authorized official listed on Coastal Detox of Southern California LLC's NPPES record is Mercedes Cornejo, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coastal Detox of Southern California LLC's NPI active?
- Yes — Coastal Detox of Southern California LLC's NPI (1003536830) is active in the NPPES registry as of the last update on 2025-05-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.