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CANON HUMAN SERVICES CENTERS INC NPI 1558753004


NPI Information

NPI: 1558753004
Provider Name: CANON HUMAN SERVICES CENTERS, INC,
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 05D2282274

Address:
5318-5320 S. BROADWAY
LOS ANGELES, CA
ZIP 90037
Phone: (323) 249-9097
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CANON HUMAN SERVICES CENTERS, INC, is a community behavioral health in Los Angeles, 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. CANON HUMAN SERVICES CENTERS, INC, NPI is 1558753004. The provider is registered as an organization entity type.

The provider's business location address is:

5318-5320 S. BROADWAY
LOS ANGELES, CA
ZIP 90037-808
Phone: (323) 249-9097
Fax: (323) 249-9121

The provider's authorized official is Richard Oliver Harrison .
The authorized official title is Executive Director and has the following contact phone number (323) 249-9097.

The CLIA number assigned to this NPI record is 05D2282274 - other - residential rehab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/20/2015 and was last updated on 6/2/2021.


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 Health190099DNCALIFORNIAYes
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.