ADDICTION THERAPY PC NPI 1265819288

NPI Information

NPI: 1265819288
Provider Name: ADDICTION THERAPY PC

Doing Business As: ADDICTION MEDICINE CONSULTING

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
559 S PALM CANYON DR STE 207
PALM SPRINGS, CA
ZIP 92264
Phone: (951) 852-6284
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ADDICTION THERAPY PC is a primary care clinic center in Palm Springs, CA. ADDICTION THERAPY PC NPI is 1265819288. The provider is registered as an organization entity type.
The provider Is Doing Business As Addiction Medicine Consulting.

The provider's business location address is:

559 S PALM CANYON DR STE 207
PALM SPRINGS, CA
ZIP 92264-468
Phone: (951) 852-6284

The provider's authorized official is James Datson Herndon .
The authorized official title is President and has the following contact phone number (206) 852-8815.

The enumeration date for this NPI number is 4/28/2015 and was last updated on 4/28/2015.

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	261QP2300X	Clinic/Center	Primary Care	16694	CALIFORNIA	Yes

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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