OrganizationActive
Sober Life Recovery Solutions LLC
NPI 1083586523 · Substance Abuse Rehabilitation Facility · San Diego, CA
Provider details
- NPI number
- 1083586523
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Parent organization
- Sober Life Recovery Solutions LLC
- Organization subpart
- Yes
- Authorized official
- Deomel Soriano, Ceo(619) 542-9542
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
8619 Jackie Dr
San Diego, CA 92119-1414
Phone: (619) 542-9542
Fax: (619) 566-4979
Street-level locationGet directions
Mailing address
3930 4th Ave Ste 300
San Diego, CA 92103-3119
Other names (DBA / former)
- Doing business as
- Hidden Leaf Wellness
Registry dates
- Enumerated
- 2025-09-23
- Last updated
- 2026-03-18
- Certified
- 2026-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.