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PHOENIX HOUSES OF LOS ANGELES INC. NPI 1497809735


NPI Information

NPI: 1497809735
Provider Name: PHOENIX HOUSES OF LOS ANGELES, INC.
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
503 OCEAN FRONT WALK
VENICE, CA
ZIP 90291
Phone: (310) 392-3070
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PHOENIX HOUSES OF LOS ANGELES, INC. is a substance abuse rehabilitation facility in Venice, CA. The provider is 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. PHOENIX HOUSES OF LOS ANGELES, INC. NPI is 1497809735. The provider is registered as an organization entity type.

The provider's business location address is:

503 OCEAN FRONT WALK
VENICE, CA
ZIP 90291-403
Phone: (310) 392-3070
Fax: (310) 392-9068

The provider's authorized official is Pouria Abbassi .
The authorized official title is Sr. Vice President, Regional Direct and has the following contact phone number (818) 686-3000.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 11/26/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation Facility190115ANCALIFORNIAYes

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: 4/28/2024

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