Westlake Consultation Center

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

WESTLAKE CONSULTATION CENTER

Practice address

2616 Menlo Ave Apt 1
San Diego, CA 92105-4461

Phone

(619) 770-5120

NPI assigned

Apr 24, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Meriere Izobo

Title

Owner

Phone

(619) 770-5120

Specialties & licenses 1

Addresses

Other names 1

• Oganjja Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1013763747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921650204",
            "telephone_number": "619-770-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 MENLO AVE APT 1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921054461",
            "telephone_number": "619-770-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTLAKE CONSULTATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "IZOBO",
        "authorized_official_first_name": "MERIERE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-770-5120"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oganjja",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• John Robert Western, PA
• Hazel Westervelt
• Robert Westervelt
• Doribeth Westfall
• Crystal Westfield, MFT
• Westminster Radiology Group
• Sam J. Westock, D.D.S., MS
• Juliana Ruth Weston-de Los Reyes, SUDCC
• Alexandra Weston, CMT, HHP
• Cynamon Denise Weston

• Addiction (Substance Use Disorder) Counselor in San Diego, CA
• Providers in San Diego, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.