TWIN TOWN CORPORATION (NPI# 1871929612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871929612 |
Entity Type | Organization |
Organization Name | TWIN TOWN CORPORATION |
Other Organization Name | TWIN TOWN TREATMENT CENTER SHERMAN OAKS |
Practice Address |
4940 Van Nuys Blvd Ste 201 Sherman Oaks CA 91403-1700 |
Mailing Address |
4388 Katella Ave. Los Alamitos CA 90720 |
Practice Telephone | 8189850560 |
Practice Fax Number | 8189857193 |
Mailing Telephone | (866) 594-8844 |
Mailing Fax Number | 5624931280 |
Enumeration Date | 2013-09-25 |
Last Update Date | 2018-03-17 |
Authorized Official Name | MR. DAVID PAUL LISONBEE (CEO/ PRESIDENT) |
Authorized Official Telephone | 3106299669 |
Is Organization Subpart | Y |
Parent Organization Name | TWIN TOWN |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
190290BP | CA | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Twin Town Treatment Center Sherman Oaks | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
6180 Laurel Canyon Blvd., Ste. 275, North Hollywood, CA 91606 | 8189850560 | 5624931280 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972939718 | Twin Town Corporation | Clinic/Center | 4376 Katella Ave., Los Alamitos, CA 90720 | 2013-09-25 |
1124454962 | Twin Town Corporation | Clinic/Center | 8739 Santa Monica Blvd., West Hollywood, CA 90069 | 2013-09-25 |
1407282247 | Twin Town Corporation | Clinic/Center | 705 West La Veta Ste. 208, Orange, CA 92868 | 2013-09-25 |
1861828600 | Twin Town Corporation | Clinic/Center | 3440 Torrance Blvd Ste 104, Torrance, CA 90503-5805 | 2013-09-25 |
1881020626 | Twin Town Corporation | Clinic/Center | 27281 Las Ramblas St. Ste. 140, Mission Viejo, CA 92691 | 2013-09-25 |
1295820835 | Twin Town Corporation | Clinic/Center | 4388 E. Katella Ave., Los Alamitos, CA 90720 | 2006-10-03 |
Street Address |
4940 VAN NUYS BLVD STE 201 |
City | SHERMAN OAKS |
State | CA |
Zip Code | 91403-1700 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851990105 | Kirstin Arianna Patton | Counselor | 4940 Van Nuys Blvd Ste 201, Sherman Oaks, CA 91403-1700 | 2020-10-19 |
1942814371 | Sarkis Mkhchyan | Counselor | 4940 Van Nuys Blvd Ste 201, Sherman Oaks, CA 91403-1700 | 2020-09-02 |
1598373326 | Jennifer Clarissa Alonzo | Counselor | 4940 Van Nuys Blvd Ste 201, Sherman Oaks, CA 91403-1700 | 2020-07-17 |
1609494210 | Guenevere Caitlin Clowry | Counselor | 4940 Van Nuys Blvd Ste 201, Sherman Oaks, CA 91403-1700 | 2020-07-09 |
1568088052 | Eileen Rico | Counselor | 4940 Van Nuys Blvd Ste 201, Sherman Oaks, CA 91403-1700 | 2020-06-19 |
1598395436 | Kristopher J. Davis | Counselor | 4940 Van Nuys Blvd Ste 201, Sherman Oaks, CA 91403-1700 | 2020-01-20 |
1700441367 | Sheryl June Gray | Counselor | 4940 Van Nuys Blvd Ste 201, Sherman Oaks, CA 91403-1700 | 2019-05-08 |
1558839555 | April Lynne Navas | Counselor | 4940 Van Nuys Blvd Ste 201, Sherman Oaks, CA 91403-1700 | 2018-11-07 |
1952884918 | Steven Mullins | Counselor | 4940 Van Nuys Blvd Ste 201, Sherman Oaks, CA 91403-1700 | 2018-09-14 |
1891278644 | Zachary Joseph Dorfman | Counselor | 4940 Van Nuys Blvd Ste 201, Sherman Oaks, CA 91403-1700 | 2018-09-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174130181 | Pamela F. Benyas | Psychologist | Dr. Pamela Benyas, 4419 Vans Nuys Bl #400, Sherman Oaks, CA 91403 | 2020-09-24 |
1245844596 | Montage Recovery California | Psychiatric Residential Treatment Facility | 15367 Valley Vista Blvd, Sherman Oaks, CA 91403 | 2020-09-03 |
1053870741 | Quality Life Experience | Assistant Behavior Analyst | 4723 1/4 Vista Del Monte, Sherman Oaks, CA 91403 | 2019-03-13 |
1871092254 | Andrew Pascual | Hospitalist | 4929 Van Nuys Blvs, Sherman Oaks, CA 91403 | 2018-02-12 |
1063941466 | Nancy Green Satenberg | Counselor | 4419 Van Nuys Blvd Ste. 301, Sherman Oaks, CA 91403 | 2017-06-08 |
1710414875 | Jeffery Edward Havig | Registered Nurse | 1536 Mission St, San Francisco, CA 91403 | 2017-05-18 |
1700310885 | Judy Koutal | Behavioral Analyst | 15720 Sutton St, Apt 201, Sherman Oaks, CA 91403 | 2017-04-17 |
1043742133 | Christa Maria Eskelin | Marriage & Family Therapist | 4419 Van Nuys Blvd, Suite 400, Sherman Oaks, CA 91403 | 2017-03-29 |
1760841431 | Dent All By Dr. Z | Dentist | 15301 Ventura Blvd. Ste U-5, Sherman Oaks, CA 91403 | 2016-02-23 |
1821456286 | Liana Kogan | Speech-Language Pathologist | 14569 Benefit Street, #312, Sherman Oaks, CA 91403 | 2016-02-01 |
Find all providers in zip 91403 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
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---|---|---|---|---|
1144867060 | Spark To Recovery Inc | Clinic/Center | 5449 Woodman Ave, Sherman Oaks, CA 91401-5832 | 2019-12-10 |
1467094722 | Addiction Recovery Center La LLC | Clinic/Center | 4734 Sunnyslope Ave, Sherman Oaks, CA 91423-2410 | 2019-10-08 |
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 |
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 | 91403 |
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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.