Gateway la Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

GATEWAY LA INC

Practice address

11500 Calvert St
N Hollywood, CA 91606-4108

Phone

(818) 357-4755

NPI assigned

Nov 5, 2024

Last updated

Nov 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Lusine Hovsepyan, MS

Title

Cea

Phone

(818) 357-4755

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1043033210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 CALVERT ST",
            "city": "N HOLLYWOOD",
            "state": "CA",
            "postal_code": "916064108",
            "telephone_number": "818-357-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 CALVERT ST",
            "city": "N HOLLYWOOD",
            "state": "CA",
            "postal_code": "916064108",
            "telephone_number": "818-357-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY LA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "HOVSEPYAN",
        "authorized_official_first_name": "LUSINE",
        "authorized_official_title_or_position": "CEA",
        "authorized_official_telephone_number": "818-357-4755",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in N Hollywood, CA
• Providers in N Hollywood, 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 Nov 5, 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.