Aegis Treatment Centers, LLC
Organization Active NPI Methadone Clinic · El Monte, CA
NPI 1043656887 · NPPES record last updated Mar 8, 2023
Key facts
- NPI
- 1043656887
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Methadone Clinic 261QM2800X
- Legal business name
- AEGIS TREATMENT CENTERS, LLC
- Practice address
- 11041 Valley Blvd
El Monte, CA 91731-2516 - Phone
- (626) 442-4177
- NPI assigned
- May 20, 2013
- Organization subpart
- No
Authorized official
- Name
- Thaiphong Thanh Vo
- Title
- Credentialing Supervisor
- Phone
- (818) 206-0360
Corporate family (same tax ID) 17
National Provider Directory
- Tax ID family
- Aegis Treatment Centers LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Methadone Clinic | 261QM2800X | CA | Yes |
Addresses
Primary practice location
11041 Valley Blvd
El Monte, CA 91731-2516
Mailing address
7246 Remmet Ave
Canoga Park, CA 91303-1531
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HDC70071F | Medicaid | CA |
Other providers in El Monte, CA
- Jennifer Adams
- Sylvia Adams
- Afshin Shawn Adhami
- Marirose Adlao
- Barbara Rosenthal Adler
- Aegis Treatment Centers, LLC
- Afar Dental Inc.
- Ruzanna Agamyan
- Anshu Agarwal
- Brianna Marie Aguilar
All providers in El Monte, CA · Methadone Clinic in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2023. 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.