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San Diego Detox LLC

Substance Abuse Rehabilitation Facility in Lakeside, CA · enumerated 2022 · authorized official Thomas Hathorn, Owner/Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1508587452

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name San Diego Detox LLC
Practice address 16916b Deer Hill Ests, Lakeside, CA, 92040
Enumeration date Sep 8, 2022
Last updated in NPPES Sep 22, 2022

Taxonomy & classification

324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities Primary

Authorized official

Name Thomas Hathorn
Title Owner/Ceo

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is San Diego Detox LLC located?
The practice location on file with NPPES is in Lakeside, CA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-09-22. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-09-22.