WEST COAST DETOX LLC – NPI #1215873724
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

WEST COAST DETOX LLC is a substance abuse rehabilitation facility located in CORONA, CA. NPPES recently assigned the NPI number 1215873724 to WEST COAST DETOX LLC on April 27, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WEST COAST DETOX LLC below.

NPI Profile for
WEST COAST DETOX LLC

NPI Number
1215873724
Enumeration Date

(about 5 weeks ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WEST COAST DETOX LLC
Primary location
1180 CLEVELAND WAY
CORONA, CA 92881-5905
Phone: (866) 758-2862 Fax:
Mailing address
3225 BIGHORN CIR
CORONA, CA 92881-8747
Phone: (866) 758-2862 Fax:
Organization Subpart
Yes - WEST COAST DETOX LLC is subpart of another organization.
Authorized Official
BIANCA MLADINICH
CFO
Phone: (714) 341-7749
Updated
Certification Date
Apr 27, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.