AEGIS TREATMENT CENTERS LLC NPI 1992861553

NPI Information

NPI: 1992861553
Provider Name: AEGIS TREATMENT CENTERS, LLC
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

Address:
660 E LOS ANGELES AVE STE B2
SIMI VALLEY, CA
ZIP 93065
Phone: (805) 522-1844
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AEGIS TREATMENT CENTERS, LLC is a methadone clinic center in Simi Valley, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. AEGIS TREATMENT CENTERS, LLC NPI is 1992861553. The provider is registered as an organization entity type.

The provider's business location address is:

660 E LOS ANGELES AVE STE B2
SIMI VALLEY, CA
ZIP 93065-884
Phone: (805) 522-1844
Fax: (805) 522-5345

The provider's authorized official is Denise Winant .
The authorized official title is Credentialing Supervisor and has the following contact phone number (732) 570-0268.

The enumeration date for this NPI number is 12/28/2006 and was last updated on 9/17/2023.

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	261QM2800X	Clinic/Center	Methadone			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	HDC70089F	MEDICAID	CALIFORNIA

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

NPI Synchronization or Removal

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