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PHOENIX HOUSES OF LOS ANGELES NPI 1700226685


NPI Information

NPI: 1700226685
Provider Name: PHOENIX HOUSES OF LOS ANGELES
Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization

Specialization: Substance Abuse Treatment, Children

Address:
11465 KAGEL CANYON ST
LAKE VIEW TERRACE, CA
ZIP 91342
Phone: (818) 686-3000
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PHOENIX HOUSES OF LOS ANGELES is a substance abuse treatment and children substance abuse rehabilitation facility in Lake View Terrace, CA. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. PHOENIX HOUSES OF LOS ANGELES NPI is 1700226685. The provider is registered as an organization entity type.

The provider's business location address is:

11465 KAGEL CANYON ST
LAKE VIEW TERRACE, CA
ZIP 91342-505
Phone: (818) 686-3000

The provider's authorized official is Elizabeth Salazar .
The authorized official title is Regional Clinical Director and has the following contact phone number (818) 686-3015.

The enumeration date for this NPI number is 6/25/2013 and was last updated on 12/2/2013.


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
13245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children190115DNCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11945OTHERCALIFORNIAMEDICAL

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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