SILICON BEACH OUTPATIENT CENTER, LLC (NPI# 1164881280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164881280 |
Entity Type | Organization |
Organization Name | SILICON BEACH OUTPATIENT CENTER, LLC |
Practice Address |
8939 S Sepulveda Blvd Ste 414 Los Angeles CA 90045-3646 |
Practice Telephone | 3107950542 |
Enumeration Date | 2016-02-17 |
Last Update Date | 2016-02-17 |
Authorized Official Name | MR. JOSEPH GROSSMAN (CEO) |
Authorized Official Telephone | 3107950542 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
Street Address |
8939 S SEPULVEDA BLVD STE 414 |
City | LOS ANGELES |
State | CA |
Zip Code | 90045-3646 |
NPI | Name | Taxonomy | Address | Enumeration |
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1245889179 | Ana Arias | Physical Therapist | 6801 Terrace Drive, Suite 200, Los Angeles, CA 90045 | 2019-09-04 |
1144719410 | Family Dental Care 4 You | Dentist | 5602 W. Manchester Ave, Los Angeles, CA 90045 | 2018-05-02 |
1821504002 | Rhonda Taylor | Counselor | 8703 La Tijera Blvd Ste 201, Los Angeles, CA 90045 | 2017-12-24 |
1114436839 | Blanca Melisa Gomez I | Case Manager/Care Coordinator | 7423 1/4 S Sepulveda Blvd, Los Angeles, CA 90045 | 2017-09-26 |
1639688831 | Kalila Magbanua-stein | Counselor | 8618 La Tijera Blvd., Suite 200, Los Angeles, CA 90045 | 2017-09-20 |
1568984185 | Angela Mull | Marriage & Family Therapist | 8616 Latijera Blvd, Suite 307, Los Angeles, CA 90045 | 2017-07-14 |
1386171585 | Patricia Ann Bridewell | Registered Nurse | 5245 Concourse Drive, Suite 100, Los Angeles, CA 90045 | 2017-05-18 |
1679937627 | Thelese Consulting Group | Community/Behavioral Health | 8929 S. Sepulveda Blvd, Suite 400, Los Angeles, CA 90045 | 2016-04-06 |
1568823318 | Keith Romalis Ellison | Specialist/Technologist | One Lmu Drive, Gersten Pavilion - Athletic Training Room, Los Angeles, CA 90045 | 2016-03-08 |
Find all providers in zip 90045 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
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1053861328 | People Coordinated Services of Southern California, Inc. | Clinic/Center | 3021 S Vermont Ave, Los Angeles, CA 90007-3033 | 2016-10-10 |
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1285095596 | Jaz Capital Investments LLC | Clinic/Center | 7966 Beverly Blvd Ste 102, Los Angeles, CA 90048-4511 | 2016-03-14 |
1568827418 | The Haven At College | Clinic/Center | 817 W 34th St, 4th Floor, Los Angeles, CA 90089-0042 | 2015-12-19 |
1962867804 | Passages Beverlywood LLC | Clinic/Center | 2370 S Robertson Blvd, Los Angeles, CA 90034-2029 | 2015-12-18 |
1790156057 | Blvd Centers, Inc. | Clinic/Center | 1608 Sawtelle Blvd, Los Angeles, CA 90025-3114 | 2015-10-13 |
1013383314 | Help Center, Inc | Clinic/Center | 3710 W Martin Luther King Jr Blvd, Suite 133, Los Angeles, CA 90008-1793 | 2015-08-20 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90045 |
Please comment or provide details below to improve the information on SILICON BEACH OUTPATIENT CENTER, LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.