SILICON BEACH OUTPATIENT CENTER, LLC


Address: 8939 S Sepulveda Blvd Ste 414, Los Angeles, CA 90045-3646
Phone: 3107950542

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
Ambulatory Health Care Facilities

Office Location

Street Address 8939 S SEPULVEDA BLVD STE 414
City LOS ANGELES
State CA
Zip Code 90045-3646

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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

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Competitor

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City LOS ANGELES
Zip Code 90045

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Dataset Information

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.

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