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HOPE CANYON NPI 1992216063


NPI Information

NPI: 1992216063
Provider Name: HOPE CANYON

Doing Business As: HOPE CANYON

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
2821 LANGE AVE
SAN DIEGO, CA
ZIP 92122
Phone: (855) 804-6503
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HOPE CANYON is a substance abuse rehabilitation facility in San Diego, CA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. HOPE CANYON NPI is 1992216063. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Hope Canyon.

The provider's business location address is:

2821 LANGE AVE
SAN DIEGO, CA
ZIP 92122-109
Phone: (855) 804-6503

The provider's authorized official is Robert Niznik .
The authorized official title is Ceo and has the following contact phone number (855) 804-6503.

The enumeration date for this NPI number is 10/17/2017 and was last updated on 6/4/2020.


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
12084P0800XPsychiatry & NeurologyPsychiatryNo
2324500000XSubstance Abuse Rehabilitation FacilityCALIFORNIAYes

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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