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CHILDRENS BUREAU OF SOUTHERN CALIFORNIA NPI 1417083049


NPI Information

NPI: 1417083049
Provider Name: CHILDRENS BUREAU OF SOUTHERN CALIFORNIA

Doing Business As: CHILDRENS BUREAU CARSON

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
460 E CARSON PLAZA DR
SUITE 102
CARSON, CA
ZIP 90746
Phone: (310) 523-9500
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CHILDRENS BUREAU OF SOUTHERN CALIFORNIA is a community behavioral health in Carson, 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. CHILDRENS BUREAU OF SOUTHERN CALIFORNIA NPI is 1417083049. The provider is registered as an organization entity type.
The provider Is Doing Business As Childrens Bureau Carson.

The provider's business location address is:

460 E CARSON PLAZA DR
SUITE 102
CARSON, CA
ZIP 90746-228
Phone: (310) 523-9500

The provider's authorized official is Alex Morales .
The authorized official title is Ceo and has the following contact phone number (323) 953-7350.

The enumeration date for this NPI number is 2/26/2007 and was last updated on 6/6/2016.


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
1251S00000XCommunity/Behavioral HealthCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100007570MEDICAIDCALIFORNIA
200668OTHERCALIFORNIADMH LEGAL ENITITY NUMBER
37570AOTHERCALIFORNIADMH REPORTING UNIT

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: 4/28/2024

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