Victorias House, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

190955AP Issued in CA

Legal business name

VICTORIAS HOUSE, LLC

Practice address

1813 12TH St
Unit a
Santa Monica, CA 90404-4637

Phone

(310) 447-1335

NPI assigned

Dec 11, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Jenevieve Minelian

Title

Ceo Director of Operations

Phone

(310) 447-1335

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1481414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481414400000",
    "number": "1053855023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 12TH STREET",
            "address_2": "UNIT A",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90404",
            "telephone_number": "310-447-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 12TH ST",
            "address_2": "UNIT A",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904044637",
            "telephone_number": "310-447-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIAS HOUSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-11",
        "last_updated": "2016-12-11",
        "status": "A",
        "authorized_official_last_name": "MINELIAN",
        "authorized_official_first_name": "JENEVIEVE",
        "authorized_official_title_or_position": "CEO DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "310-447-1335",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "190955AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Viapiano, D.C.
• Ivan Daniel Vicario, DPT
• Victor Medical Corporation
• Alicia Victorero, LVN
• Victoria Davidovsky-Lucas, a Professional Chiropractic Corporation
• Erik Vicuna
• Lisa Vidato, MD
• Eric A Videgain, D.D.S.
• Carla Vidor, L.AC
• Gregory Arden Vie

• Substance Abuse Rehabilitation Facility in Santa Monica, CA
• Providers in Santa Monica, 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 Dec 11, 2016; 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.