CANYON WEST LOS ANGELES LLC (NPI# 1720432800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720432800 |
| Entity Type | Organization |
| Organization Name | CANYON WEST LOS ANGELES LLC |
| Other Organization Name | FOUNDATIONS LOS ANGELES |
| Practice Address |
17167 W. Ventura Boulevard Encino CA 91316 |
| Mailing Address |
1000 Health Park Drive Building Three, Suite 400 Brentwood TN 37027 |
| Practice Telephone | 8184641700 |
| Practice Fax Number | 6153734656 |
| Mailing Telephone | 6153867255 |
| Mailing Fax Number | 6156457445 |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2019-05-20 |
| Authorized Official Name | STEVE FILTON (EVP-CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6103823319 |
| 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 |
|---|---|
| Foundations Los Angeles | Doing Business As Name - Organization |
| Street Address |
17167 W. VENTURA BOULEVARD |
| City | ENCINO |
| State | CA |
| Zip Code | 91316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548883341 | Kerry Ann Mclean | Marriage & Family Therapist | 1777 Ventura Blvd Unit 103, Encino, CA 91316 | 2020-05-27 |
| 1336793124 | Achieve Speech Associates, Inc. | Clinic/Center | 17605 Ventura Boulevard, #302, Encino, CA 91316 | 2019-07-30 |
| 1053978312 | Somnia Sleep Science & Treatment Center | Clinic/Center | 5435 Balboa Blvd Suite 100, Encino, CA 91316 | 2019-05-22 |
| 1437634466 | New Spirit Recovery, LLC | Substance Abuse Rehabilitation Facility | 17856 Cathedral Pl., Encino, CA 91316 | 2018-09-25 |
| 1649762014 | Hashemi Ophthalmology, PC | Ophthalmology | 5353 Balboa Blvd Ste 110, Encino, CA 91316 | 2018-06-01 |
| 1932614310 | Hannah Esther Weinsrein | Marriage & Family Therapist | 17337 Ventura Blvd., Sutie #317, Encino, CA 91316 | 2017-12-07 |
| 1881118560 | Paula Miley | Marriage & Family Therapist | 5535 Balboa Blvd #202, Encino, CA 91316 | 2017-08-03 |
| 1477088193 | Rachela Conti | Psychologist | 5400 Balboa Blvd. #311, Encino, CA 91316 | 2017-05-01 |
| 1962857235 | Jessica Shlager | Occupational Therapist | 6345 Balboa Boulevard Suite 120, Encino, CA 91316 | 2016-04-25 |
| 1700246303 | Kathleen Bridget Lally-arena | Nurse Practitioner | 5400 Balboa Bl Suite 103, Encino, CA 91316 | 2016-02-25 |
| Find all providers in zip 91316 | ||||
| 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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| 1205011582 | Tfsc-encino | Clinic/Center | 16260 Ventura Blvd Ste 309, Encino, CA 91436-2276 | 2008-01-04 |
| 1134557705 | Inner Actions, LLC | Clinic/Center | 17609 Ventura Blvd Ste 215, Encino, CA 91316-5126 | 2013-10-17 |
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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.