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LOS ANGELES YOUTH NETWORK NPI 1780129486


NPI Information

NPI: 1780129486
Provider Name: LOS ANGELES YOUTH NETWORK

Other Name: BEACHWOOD HOUSE

Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
2471 N BEACHWOOD DR
LOS ANGELES, CA
ZIP 90068
Phone: (323) 962-0430
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LOS ANGELES YOUTH NETWORK is a residential treatment facility emotionally disturbed children in Los Angeles, CA. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. LOS ANGELES YOUTH NETWORK NPI is 1780129486. The provider is registered as an organization entity type.
The provider Other Name Is Beachwood House.

The provider's business location address is:

2471 N BEACHWOOD DR
LOS ANGELES, CA
ZIP 90068-004
Phone: (323) 962-0430

The provider's authorized official is Mark Supper .
The authorized official title is President/ceo and has the following contact phone number (323) 467-8466.

The enumeration date for this NPI number is 1/4/2017 and was last updated on 1/6/2017.


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
1322D00000XResidential Treatment Facility, Emotionally Disturbed Children197603055CALIFORNIAYes

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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