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PROMINENCE CORPORATION NPI 1215234455


NPI Information

NPI: 1215234455
Provider Name: PROMINENCE CORPORATION

Doing Business As: PROMINENCE TREATMENT CENTER

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 05D2057509

Address:
2150 COLD CANYON RD
CALABASAS, CA
ZIP 91302
Phone: (818) 878-6900
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PROMINENCE CORPORATION is a substance abuse rehabilitation facility in Calabasas, 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. PROMINENCE CORPORATION NPI is 1215234455. The provider is registered as an organization entity type.
The provider Is Doing Business As Prominence Treatment Center.

The provider's business location address is:

2150 COLD CANYON RD
CALABASAS, CA
ZIP 91302-306
Phone: (818) 878-6900

The provider's authorized official is Yahya Navab .
The authorized official title is Ceo/ Owner and has the following contact phone number (818) 878-6900.

The CLIA number assigned to this NPI record is 05D2057509 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/24/2011 and was last updated on 6/15/2016.


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 Facility190722APCALIFORNIAYes

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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