GEROPHYSCHIATRIC SERVICES INC NPI 1568550390

NPI Information

  • NPI: 1568550390
  • Provider Name: GEROPHYSCHIATRIC SERVICES, INC
  • Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
  • Entity Type: Organization
  • Doing Business As: LA CASA MENTAL HEALTH REHABILITATION CENTER
  • CLIA Number: 05D2204647
  • Address: 6060 N PARAMOUNT BLVD
    LONG BEACH, CA
    ZIP 90805
  • Phone: (562) 634-9534

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NPI Details

GEROPHYSCHIATRIC SERVICES, INC is a community based residential treatment facility mental illness in Long Beach, CA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. GEROPHYSCHIATRIC SERVICES, INC NPI is 1568550390. The provider is registered as an organization entity type.
The provider Is Doing Business As La Casa Mental Health Rehabilitation Center.

The provider's business location address is:

6060 N PARAMOUNT BLVD
LONG BEACH, CA
ZIP 90805-711
Phone: (562) 634-9534
Fax: (562) 634-9534

The provider's authorized official is Leslie Davis .
The authorized official title is Cfo, Svp and has the following contact phone number (510) 337-7950.

The CLIA number assigned to this NPI record is 05D2204647 - other - mental health rehab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/10/2006 and was last updated on 12/1/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessDMH 02 190 007CALIFORNIAYes

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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