Organization
PACIFIC BEACH RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL SIMONS (PRESIDENT)
(858) 877-3422
Entity
Organization
Contact information
Practice address
2056 OLIVER AVE, SAN DIEGO, CA 92109-5537
(858) 877-3422
Mailing address
7660 FAY AVE # H205, LA JOLLA, CA 92037-0021
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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