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VIC MEDICAL SERVICES INC NPI 1558500181


NPI Information

NPI: 1558500181
Provider Name: VIC MEDICAL SERVICES INC
Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization

Specialization: Substance Abuse Treatment, Children

Address:
13658 HAWTHORNE BLVD
SUITE 201
HAWTHORNE, CA
ZIP 90250
Phone: (310) 219-0212
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VIC MEDICAL SERVICES INC is a substance abuse treatment and children substance abuse rehabilitation facility in Hawthorne, CA. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. VIC MEDICAL SERVICES INC NPI is 1558500181. The provider is registered as an organization entity type.

The provider's business location address is:

13658 HAWTHORNE BLVD
SUITE 201
HAWTHORNE, CA
ZIP 90250-824
Phone: (310) 219-0212

The provider's authorized official is Ike F Udengwu .
The authorized official title is Secretary and has the following contact phone number (310) 493-9393.

The enumeration date for this NPI number is 2/4/2009 and was last updated on 2/4/2009.


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
13245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenYes

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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