SOBER DISTRICT INC NPI 1023514957

NPI Information

NPI: 1023514957
Provider Name: SOBER DISTRICT INC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
6628 VAN NUYS BLVD
VAN NUYS, CA
ZIP 91405
Phone: (213) 364-8065
Get Directions

SOBER DISTRICT INC is a rehabilitation and substance use disorder clinic center in Van Nuys, CA. SOBER DISTRICT INC NPI is 1023514957. The provider is registered as an organization entity type.

The provider's business location address is:

6628 VAN NUYS BLVD
VAN NUYS, CA
ZIP 91405-617
Phone: (213) 364-8065

The provider's authorized official is Tigran Mamikonyan .
The authorized official title is Ceo and has the following contact phone number (818) 859-3568.

The enumeration date for this NPI number is 3/31/2018 and was last updated on 10/31/2018.

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	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder		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: 4/28/2024

NPI Synchronization or Removal

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