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VISTA DEL MAR CHILD AND FAMILY SERVICES NPI 1174655708


NPI Information

NPI: 1174655708
Provider Name: VISTA DEL MAR CHILD AND FAMILY SERVICES
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 05D0860743

Address:
3200 MOTOR AVE
LOS ANGELES, CA
ZIP 90034
Phone: (310) 836-1223
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VISTA DEL MAR CHILD AND FAMILY SERVICES is a community behavioral health in Los Angeles, CA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. VISTA DEL MAR CHILD AND FAMILY SERVICES NPI is 1174655708. The provider is registered as an organization entity type.

The provider's business location address is:

3200 MOTOR AVE
LOS ANGELES, CA
ZIP 90034-710
Phone: (310) 836-1223
Fax: (310) 204-1405

The provider's authorized official is Cheryl Carrington .
The authorized official title is Director Quality, Standards And Com and has the following contact phone number (310) 836-1223.

The CLIA number assigned to this NPI record is 05D0860743 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/9/2007 and was last updated on 6/3/2019.


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
1322D00000XResidential Treatment Facility, Emotionally Disturbed Children191600721CALIFORNIANo
2251S00000XCommunity/Behavioral HealthYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.