TRANSFORMING LIFE OUTPATIENT PROGRAM LLC NPI 1205493673

NPI Information

NPI: 1205493673
Provider Name: TRANSFORMING LIFE OUTPATIENT PROGRAM, LLC

Doing Business As: TRANSFORMING LIFE CENTER

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

Specialization: Rehabilitation, Substance Use Disorder

Address:
201 S LAKEVIEW AVE STE 249
PLACENTIA, CA
ZIP 92870
Phone: (818) 590-0134
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TRANSFORMING LIFE OUTPATIENT PROGRAM, LLC is a rehabilitation and substance use disorder clinic center in Placentia, CA. TRANSFORMING LIFE OUTPATIENT PROGRAM, LLC NPI is 1205493673. The provider is registered as an organization entity type.
The provider Is Doing Business As Transforming Life Center.

The provider's business location address is:

201 S LAKEVIEW AVE STE 249
PLACENTIA, CA
ZIP 92870-710
Phone: (818) 590-0134

The provider's authorized official is Siamak Afshar .
The authorized official title is Program Director and has the following contact phone number (818) 590-0134.

The enumeration date for this NPI number is 5/21/2019 and was last updated on 7/15/2021.

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			Yes
2	324500000X	Substance Abuse Rehabilitation Facility				No

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

NPI Synchronization or Removal

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