Organization · NPI-2

Golden Coast Rehab, LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · La Mesa, CA

NPI number1750173357
StatusActive
Last updated in NPPESSep 30, 2026

Details

NPI
1750173357
Entity type
Organization (NPI-2)
Legal business name
Golden Coast Rehab, LLC
Organization subpart
No
Enumeration date
May 20, 2025
Certification date
Sep 30, 2026
Last updated
Sep 30, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes
324500000X Substance Abuse Rehabilitation Facility––

Other names

  • Golden Coast Rehab (Doing Business As)

Practice location

8809 La Mesa Blvd Ste 102
La Mesa, CA 91942-5406

Phone 858-925-8589 · Fax 858-863-5017

Mailing address

14 Alewive Brook Rd
East Hampton, NY 11937-1190

Phone 858-925-8589 · Fax 858-863-5017

Authorized official

Dean Scaduto
Founder
8589258589

Is something wrong?

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