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CHABAD OF CALIFORNIA NPI 1922451574


NPI Information

NPI: 1922451574
Provider Name: CHABAD OF CALIFORNIA

Doing Business As: CHABAD TREATMENT CENTER

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

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 05D2072234

Address:
1750 S LA CIENEGA BLVD
LOS ANGELES, CA
ZIP 90035
Phone: (323) 965-1365
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CHABAD OF CALIFORNIA is a rehabilitation and substance use disorder clinic center in Los Angeles, CA. CHABAD OF CALIFORNIA NPI is 1922451574. The provider is registered as an organization entity type.
The provider Is Doing Business As Chabad Treatment Center.

The provider's business location address is:

1750 S LA CIENEGA BLVD
LOS ANGELES, CA
ZIP 90035-602
Phone: (323) 965-1365

The provider's authorized official is David Kovi Blauner .
The authorized official title is Administrator and has the following contact phone number (323) 965-1365.

The CLIA number assigned to this NPI record is 05D2072234 - other - drug & alcohol addiction with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/19/2016 and was last updated on 7/19/2016.


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 Disorder190087DNCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1190087DNOTHERCALIFORNIASTATE LICENSE

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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