1741 Hauser Blvd Detox LLC
Substance Abuse Rehabilitation Facility in Los Angeles, California
1780253112- Practice location
- 1741 Hauser Blvd, Los Angeles, CA 90019-5111
- Phone
- 828-367-8727
- Fax
- 310-861-1945
- Last updated
- May 11, 2023
1741 Hauser Blvd Detox LLC is a healthcare organization based in Los Angeles, CA. 1741 Hauser Blvd Detox LLC practices in Los Angeles, CA. The NPI Number for 1741 Hauser Blvd Detox LLC is 1780253112. The current practice location address for 1741 Hauser Blvd Detox LLC is 1741 Hauser Blvd, Los Angeles, CA 90019-5111 and can be reached out via phone at 828-367-8727 and via fax at 310-861-1945.
Provider Profile Details
- NPI Number
- 1780253112
- Provider Name
- 1741 Hauser Blvd Detox LLC
- Provider Entity Type
- Organization
- Address
- 1741 Hauser Blvd, Los Angeles, CA 90019-5111
- Phone Number
- 828-367-8727
- Fax Number
- 310-861-1945
- Primary Taxonomy
- Substance Abuse Rehabilitation Facility · 324500000X
- Organization Subpart
- No
- Authorized Official
- Mr. Daniel Keane · Coo · 424-229-2061
- Provider Enumeration Date
- June 21, 2021
- Last Update Date
- May 11, 2023
- Certification Date
- May 11, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1741 Hauser Blvd
Los Angeles, CA 90019-5111 - City
- Los Angeles
- State
- California
- Zip
- 90019-5111
- Phone Number
- 828-367-8727
- Fax Number
- 310-861-1945
Provider Business Mailing Address Details
- Address
- 1741 Hauser Blvd
Los Angeles, CA 90019-5111 - City
- Los Angeles
- State
- CA
- Zip
- 90019-5111
- Phone Number
- 424-229-2061
- Fax Number
- 310-861-1945
License Information
- Taxonomy
- Substance Abuse Rehabilitation Facility · 324500000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of 1741 Hauser Blvd Detox LLC?
The NPI number of 1741 Hauser Blvd Detox LLC is 1780253112. It was assigned on June 21, 2021 and is currently active in the NPPES registry.
What is the specialty of 1741 Hauser Blvd Detox LLC?
1741 Hauser Blvd Detox LLC is registered under the primary taxonomy Substance Abuse Rehabilitation Facility (code 324500000X).
Where does 1741 Hauser Blvd Detox LLC practice?
The practice location is 1741 Hauser Blvd, Los Angeles, CA 90019-5111. The office can be reached at 828-367-8727 (phone) or 310-861-1945 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1780253112 directly on the NPPES registry website.