Circle of Life Outpatient, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

CIRCLE OF LIFE OUTPATIENT, INC.

Practice address

715 N Ridgewood PL
Los Angeles, CA 90038-3105

Phone

(323) 578-8546

NPI assigned

Sep 16, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Marina Verkhovsky

Title

Ceo

Phone

(213) 595-3450

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1033511548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 HERCULES DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900461634",
            "telephone_number": "323-578-8546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 N RIDGEWOOD PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900383105",
            "telephone_number": "323-578-8546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE OF LIFE OUTPATIENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "VERKHOVSKY",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-595-3450",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Circle of Help Foundation
• Circle of Help Foundation
• Circle of Help Foundation
• Circle of Life Homecare and Consulting Group LLC
• Circle of Life Hospice Care
• Circle of Strength Recovery
• Circle Oriental Medicine Clinic Inc
• Cheyenne Cirillo Watt
• Katherine A Cironi, MD
• Michael Cirrincione, OTR/L

• Substance Abuse Rehabilitation Facility in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.