Gateway la Inc
Organization Active NPI Substance Abuse Rehabilitation Facility · N Hollywood, CA
NPI 1043033210 · NPPES record last updated Nov 5, 2024
Key facts
- NPI
- 1043033210
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 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
- Organization subpart
- No
Authorized official
- Name
- Ms. Lusine Hovsepyan, MS
- Title
- Cea
- Phone
- (818) 357-4755
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Yes |
Addresses
Primary practice location
11500 Calvert St
N Hollywood, CA 91606-4108
Mailing address
11500 Calvert St
N Hollywood, CA 91606-4108
Phone (818) 357-4755
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.