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VICTORIAS HOUSE LLC NPI 1053855023


NPI Information

NPI: 1053855023
Provider Name: VICTORIAS HOUSE, LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
1813 12TH ST
UNIT A
SANTA MONICA, CA
ZIP 90404
Phone: (310) 447-1335
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VICTORIAS HOUSE, LLC is a substance abuse rehabilitation facility in Santa Monica, 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. VICTORIAS HOUSE, LLC NPI is 1053855023. The provider is registered as an organization entity type.

The provider's business location address is:

1813 12TH ST
UNIT A
SANTA MONICA, CA
ZIP 90404-637
Phone: (310) 447-1335

The provider's authorized official is Jenevieve Minelian .
The authorized official title is Ceo Director Of Operations and has the following contact phone number (310) 447-1335.

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


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 Facility190955APCALIFORNIAYes

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: 11/14/2023

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