ADDICTION RECOVERY CENTER LA LLC (NPI# 1467094722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467094722 |
| Entity Type | Organization |
| Organization Name | ADDICTION RECOVERY CENTER LA LLC |
| Practice Address |
4734 Sunnyslope Ave Sherman Oaks CA 91423-2410 |
| Practice Telephone | 3109930146 |
| Practice Fax Number | 7146037416 |
| Mailing Telephone | 3109930146 |
| Mailing Fax Number | 7146037415 |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2019-10-08 |
| Authorized Official Name | MRS. JULIE ANN CORTEZ (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3109930146 |
| 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 |
| Other Name | Type Code |
|---|---|
| Addiction Recovery Center | Doing Business As Name - Organization |
| Street Address |
4734 SUNNYSLOPE AVE |
| City | SHERMAN OAKS |
| State | CA |
| Zip Code | 91423-2410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790349652 | Emily Luu | Physician Assistant | 4312 Woodman Ave Ste 102, Sherman Oaks, CA 91423 | 2019-04-25 |
| 1821568478 | Allen Tae Chung | Pharmacy | 13331 Moorpark St Apt 333, Sherman Oaks, CA 91423 | 2018-11-27 |
| 1790277267 | Sheridan Kesselman | Counselor | 14272 Valley Vista Blvd., Sherman Oaks, CA 91423 | 2018-05-31 |
| 1033617048 | San Fernando Valley Treatment Ctr.-anxiety Disorders | Social Worker | 13701 Riverside Dr. #508, Sherman Oaks, CA 91423 | 2018-01-24 |
| 1417468737 | Ashford Dental Sherman Oaks | Dentist | 13327 Moorpark St, Sherman Oaks, CA 91423 | 2017-10-13 |
| 1558883470 | Amedi Home Health Care Inc | Home Health | 14242 Ventura Blvd Suite 207, Sherman Oaks, CA 91423 | 2017-07-12 |
| 1902341183 | Oaks Community Pharmacy Inc | Pharmacy | 13322 Riveside Dr, Sherman Oaks, CA 91423 | 2016-12-27 |
| 1558760926 | Baharak Ghaffarzadegan | Dentist | 4346 Matilija Ave #107, Sherman Oaks, CA 91423 | 2014-08-21 |
| 1972947760 | Gwen S. Barry | Marriage & Family Therapist | 13400 Riverside Drive Suite 318, Sherman Oaks, CA 91423 | 2013-04-23 |
| 1043552250 | Community Care Consultants | Social Worker | 14401 Hartsook #315, Sherman Oaks, CA 91423 | 2013-03-26 |
| Find all providers in zip 91423 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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|---|---|---|---|---|
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| 1184152530 | Creative Approach Residential Inc. | Clinic/Center | 5348 Allott Ave., Sherman Oaks, CA 91401 | 2017-05-30 |
| 1528442936 | Service Industries, Inc. | Clinic/Center | 15250 Ventura Blvd, Suite 1100, Sherman Oaks, CA 91403 | 2015-07-15 |
| 1871929612 | Twin Town Corporation | Clinic/Center | 4940 Van Nuys Blvd Ste 201, Sherman Oaks, CA 91403-1700 | 2013-09-25 |
| 1902341118 | Vida Family Services | Clinic/Center | 4419 Van Nuys Blvd, 307, Sherman Oaks, CA 91403-2910 | 2016-12-23 |
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| Find all providers with the same taxonomy | ||||
| City | SHERMAN OAKS |
| Zip Code | 91423 |
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| 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.