# SOUTH COUNTY ADDICTION TREATMENT SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Orange County Addiction Treatment Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821533696
- **Authorized official:** DAVID IAN DEYHIMY M.D. (CEO/DIRECTOR)
- **Authorized official phone:** (916) 607-9197

## Contact information

- **Practice address:** 148 W AVENIDA SAN ANTONIO, SAN CLEMENTE, CA 92672-4354
- **Practice address phone:** (916) 607-9197
- **Practice address fax:** (949) 424-0743
- **Mailing address:** PO BOX 3699, SAN CLEMENTE, CA 92674-3699
- **Mailing address phone:** (916) 607-9197
- **Mailing address fax:** (949) 424-0743

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LA0401X | Addiction Medicine (Anesthesiology) Physician | A82776 | CA | Yes |

## Other

- **Enumeration date:** 01/03/2017
- **Last updated:** 01/03/2017