THE OLIVE LEAF NPI 1316045388

NPI Information

  • NPI: 1316045388
  • Provider Name: THE OLIVE LEAF
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • Address: 19133 INGOMAR ST
    RESEDA, CA
    ZIP 91335
  • Phone: (818) 360-3317

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NPI Details

THE OLIVE LEAF is an intermediate care facility mentally retarded in Reseda, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. THE OLIVE LEAF NPI is 1316045388. The provider is registered as an organization entity type.

The provider's business location address is:

19133 INGOMAR ST
RESEDA, CA
ZIP 91335-720
Phone: (818) 360-3317
Fax: (818) 357-2437

The provider's authorized official is Larry Philip Friedman .
The authorized official title is Administrator and has the following contact phone number (818) 231-4283.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 1/19/2024.

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
1320600000XResidential Treatment Facility, Intellectual and/or Developmental Disabilities960001402CALIFORNIANo
2315P00000XIntermediate Care Facility, Intellectual DisabilitiesYes

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: 11/21/2025

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