GATEWAYS FCTP NPI 1851420079

NPI Information

NPI: 1851420079
Provider Name: GATEWAYS FCTP
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 05D1077006

Address:
1891 EFFIE ST
LOS ANGELES, CA
ZIP 90026
Phone: (323) 644-2000
Get Directions

GATEWAYS FCTP is a mental health (including community mental health center) clinic center in Los Angeles, CA. GATEWAYS FCTP NPI is 1851420079. The provider is registered as an organization entity type.

The provider's business location address is:

1891 EFFIE ST
LOS ANGELES, CA
ZIP 90026-711
Phone: (323) 644-2000

The provider's authorized official is Phil Wong .
The authorized official title is Ceo and has the following contact phone number (323) 644-2000.

The CLIA number assigned to this NPI record is 05D1077006 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/5/2007 and was last updated on 8/15/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	930000058	CALIFORNIA	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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