GREGORY THOMAS LAUDERDALE NPI 1467725721

NPI Information

  • NPI: 1467725721
  • Provider Name: GREGORY THOMAS LAUDERDALE
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Individual
  • Address: 12322 CLEARGLEN AVE
    WHITTIER, CA
    ZIP 90604
  • Phone: (562) 242-1077

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NPI Details

Gregory Thomas Lauderdale is a substance abuse rehabilitation facility in Whittier, 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. Gregory Thomas Lauderdale NPI is 1467725721. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12322 CLEARGLEN AVE
WHITTIER, CA
ZIP 90604
Phone: (562) 242-1077
Fax: (562) 947-4053

The enumeration date for this NPI number is 2/17/2012 and was last updated on 2/17/2012.

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
1324500000XSubstance Abuse Rehabilitation FacilityYes

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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