Organization
BOHICA INVESTMENTS LLC
Active
Other names
Encinitas Detox
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW LEE (ADMIN)
(619) 987-8078
Entity
Organization
Contact information
Practice address
184 AVENIDA LA CUESTA, SAN CLEMENTE, CA 92672-3142
(949) 359-5669
Mailing address
34249 CAMINO CAPISTRANO STE 101, CAPISTRANO BEACH, CA 92624-1156
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300811AP
DEPARTMENT OF HEALTH CARE SERVICES
CA
01
—
370226AP
DEPARTMENT OF HEALTH CARE SERVICES
CA
Enumeration date
09/08/2023
Last updated
05/15/2026
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