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ADDICTION RESEARCH AND TREATMENT INC NPI 1679062434


NPI Information

NPI: 1679062434
Provider Name: ADDICTION RESEARCH AND TREATMENT, INC

Doing Business As: MEDMARK TREATMENT CENTERS LOS ANGELES

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

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 05D2154360

Address:
11900 AVALON BLVD STE 200&201
LOS ANGELES, CA
ZIP 90061
Phone: (214) 379-3398
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ADDICTION RESEARCH AND TREATMENT, INC is a rehabilitation and substance use disorder clinic center in Los Angeles, CA. ADDICTION RESEARCH AND TREATMENT, INC NPI is 1679062434. The provider is registered as an organization entity type.
The provider Is Doing Business As Medmark Treatment Centers Los Angeles.

The provider's business location address is:

11900 AVALON BLVD STE 200&201
LOS ANGELES, CA
ZIP 90061-866
Phone: (214) 379-3398
Fax: (214) 550-2635

The provider's authorized official is Michael Saul .
The authorized official title is Vp and has the following contact phone number (214) 379-3300.

The CLIA number assigned to this NPI record is 05D2154360 - other - narcotic treatment progra with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/8/2018 and was last updated on 2/12/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2800XClinic/CenterMethadoneNo
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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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