HAZELDEN BETTY FORD FOUNDATION NPI 1508261025

NPI Information

NPI: 1508261025
Provider Name: HAZELDEN BETTY FORD FOUNDATION

Doing Business As: BETTY FORD CENTER AT WEST LOS ANGELES

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 05D2091908

Address:
10700 SANTA MONICA BLVD
SUITE 310
LOS ANGELES, CA
ZIP 90025
Phone: (800) 257-7800
Get Directions

HAZELDEN BETTY FORD FOUNDATION is a rehabilitation and substance use disorder clinic center in Los Angeles, CA. HAZELDEN BETTY FORD FOUNDATION NPI is 1508261025. The provider is registered as an organization entity type.
The provider Is Doing Business As Betty Ford Center At West Los Angeles.

The provider's business location address is:

10700 SANTA MONICA BLVD
SUITE 310
LOS ANGELES, CA
ZIP 90025-768
Phone: (800) 257-7800

The provider's authorized official is Arnold Stueber .
The authorized official title is Cfo and has the following contact phone number (651) 213-4729.

The CLIA number assigned to this NPI record is 05D2091908 - other - outpatient chemical depen with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/27/2014 and was last updated on 3/28/2024.

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
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes
2	324500000X	Substance Abuse Rehabilitation Facility				No

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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