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STARBRIDGE RECOVERY LLC NPI 1144860073


NPI Information

NPI: 1144860073
Provider Name: STARBRIDGE RECOVERY, LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 05D2269229

Address:
3943 FREDONIA DR
LOS ANGELES, CA
ZIP 90068
Phone: (323) 872-0000
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STARBRIDGE RECOVERY, LLC is a substance abuse rehabilitation facility in Los Angeles, 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. STARBRIDGE RECOVERY, LLC NPI is 1144860073. The provider is registered as an organization entity type.

The provider's business location address is:

3943 FREDONIA DR
LOS ANGELES, CA
ZIP 90068-213
Phone: (323) 872-0000

The provider's authorized official is Adam Snyder .
The authorized official title is Mgmt and has the following contact phone number (323) 915-9088.

The CLIA number assigned to this NPI record is 05D2269229 - other - substance abuse res detox with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/8/2020 and was last updated on 6/20/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1276400000XRehabilitation, Substance Use Disorder UnitNo
2324500000XSubstance Abuse Rehabilitation FacilityYes

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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