LLKD21 LLC NPI 1578230892

NPI Information

NPI: 1578230892
Provider Name: LLKD21 LLC

Doing Business As: TAILORED BEHAVIOR

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
1230 ROSECRANS AVE STE 300
MANHATTAN BEACH, CA
ZIP 90266
Phone: (888) 361-2660
Get Directions

LLKD21 LLC is a health service clinic center in Manhattan Beach, CA. LLKD21 LLC NPI is 1578230892. The provider is registered as an organization entity type.
The provider Is Doing Business As Tailored Behavior.

The provider's business location address is:

1230 ROSECRANS AVE STE 300
MANHATTAN BEACH, CA
ZIP 90266-494
Phone: (888) 361-2660

The provider's authorized official is Krystal Watkins .
The authorized official title is Vice President and has the following contact phone number (310) 767-6354.

The enumeration date for this NPI number is 8/25/2021 and was last updated on 8/3/2022.

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	Primary
1	251S00000X	Community/Behavioral Health		No
2	252Y00000X	Early Intervention Provider Agency		No
3	261QH0100X	Clinic/Center	Health Service	Yes

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

NPI Synchronization or Removal

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