| Coastline Behavioral, Llc | |
|
1250 Prospect St Ste O 1&2 La Jolla CA 92037-3680 | |
| (858) 414-0371 | |
| Not Available |
| Full Name | Coastline Behavioral, Llc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 1250 Prospect St Ste O, La Jolla, California |
| Authorized Official Name and Position | Deomel Soriano (OWNER) |
| Authorized Official Contact | 8584140371 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastline Behavioral, Llc 3930 4th Ave Ste 300 San Diego CA 92103-3119 Ph: (858) 414-0371 | Coastline Behavioral, Llc 1250 Prospect St Ste O 1&2 La Jolla CA 92037-3680 Ph: (858) 414-0371 |
| NPI Number | 1508728437 |
|---|---|
| Provider Enumeration Date | 12/01/2025 |
| Last Update Date | 12/01/2025 |
| Certification Date | 12/01/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508728437 | NPI | - | NPPES |
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