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PALMS RESIDENTIAL CARE FACILITY NPI 1114197076


NPI Information

NPI: 1114197076
Provider Name: PALMS RESIDENTIAL CARE FACILITY

Other Name: MT. CARMEL OUTPATIENT CLINIC

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
801 W 70TH ST
LOS ANGELES, CA
ZIP 90044
Phone: (323) 759-0340
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PALMS RESIDENTIAL CARE FACILITY is a rehabilitation and substance use disorder clinic center in Los Angeles, CA. PALMS RESIDENTIAL CARE FACILITY NPI is 1114197076. The provider is registered as an organization entity type.
The provider Other Name Is Mt. Carmel Outpatient Clinic.

The provider's business location address is:

801 W 70TH ST
LOS ANGELES, CA
ZIP 90044-218
Phone: (323) 759-0340
Fax: (323) 759-0466

The provider's authorized official is Kevin L. Pickett .
The authorized official title is Executive Director and has the following contact phone number (323) 759-0340.

The enumeration date for this NPI number is 3/7/2008 and was last updated on 3/7/2008.


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
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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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