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Organization
SOUTH COUNTY ADDICTION TREATMENT SERVICES, INC.
Active
Organization
SOUTH COUNTY ADDICTION TREATMENT SERVICES, INC.
Active
Other names
Orange County Addiction Treatment Services
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID IAN DEYHIMY M.D. (CEO/DIRECTOR)
(916) 607-9197
Entity
Organization
Contact information
Practice address
148 W AVENIDA SAN ANTONIO, SAN CLEMENTE, CA 92672-4354
(916) 607-9197
(949) 424-0743
Mailing address
PO BOX 3699, SAN CLEMENTE, CA 92674-3699
(916) 607-9197
(949) 424-0743
Taxonomy
Speciality
Code
Description
License number
State
207LA0401X
Addiction Medicine (Anesthesiology) Physician
Primary
A82776
CA
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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