RYLIST INC NPI 1407119670

NPI Information

NPI: 1407119670
Provider Name: RYLIST INC

Doing Business As: LA VENTANA TREATMENT PROGRAMS

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 05D2070196

Address:
1408 E THOUSAND OAKS BLVD
THOUSAND OAKS, CA
ZIP 91362
Phone: (833) 239-3552
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RYLIST INC is a rehabilitation and substance use disorder clinic center in Thousand Oaks, CA. RYLIST INC NPI is 1407119670. The provider is registered as an organization entity type.
The provider Is Doing Business As La Ventana Treatment Programs.

The provider's business location address is:

1408 E THOUSAND OAKS BLVD
THOUSAND OAKS, CA
ZIP 91362
Phone: (833) 239-3552

The provider's authorized official is Steve Zamarripa .
The authorized official title is Owner/president and has the following contact phone number (818) 584-5615.

The CLIA number assigned to this NPI record is 05D2070196 - other - outpatient subs abuse fac with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/21/2012 and was last updated on 8/17/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	LIC-7-11-3494	CALIFORNIA	No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	LIC-7-11-3494	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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