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BRISAS IOP LLC NPI 1811393044


NPI Information

NPI: 1811393044
Provider Name: BRISAS IOP, LLC

Other Name: BRISAS IOP

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

Specialization: Rehabilitation, Substance Use Disorder

Address:
5700 DIVISION ST
STE 200
RIVERSIDE, CA
ZIP 92506
Phone: (510) 685-2022
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BRISAS IOP, LLC is a rehabilitation and substance use disorder clinic center in Riverside, CA. BRISAS IOP, LLC NPI is 1811393044. The provider is registered as an organization entity type.
The provider Other Name Is Brisas Iop.

The provider's business location address is:

5700 DIVISION ST
STE 200
RIVERSIDE, CA
ZIP 92506-257
Phone: (510) 685-2022

The provider's authorized official is Rajagopal Keerthy Sunder .
The authorized official title is Program Director and has the following contact phone number (510) 685-2022.

The enumeration date for this NPI number is 11/17/2014 and was last updated on 2/17/2016.


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
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderA942233CALIFORNIAYes

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: 11/14/2023

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