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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