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HILLSIDES NPI 1639613821


NPI Information

NPI: 1639613821
Provider Name: HILLSIDES

Other Name: HILLSIDES OUTPATIENT

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
940 AVENUE 64
PASADENA, CA
ZIP 91105
Phone: (323) 254-2274
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HILLSIDES is a mental health (including community mental health center) clinic center in Pasadena, CA. HILLSIDES NPI is 1639613821. The provider is registered as an organization entity type.
The provider Other Name Is Hillsides Outpatient.

The provider's business location address is:

940 AVENUE 64
PASADENA, CA
ZIP 91105-711
Phone: (323) 254-2274

The provider's authorized official is Stacey Roth .
The authorized official title is President/ceo and has the following contact phone number (323) 254-2274.

The enumeration date for this NPI number is 12/7/2016 and was last updated on 11/2/2022.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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: 4/28/2024

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