NPIMap

Organization Active NPI

Casablanca Outpatient

  • Substance Abuse Rehabilitation Facility
  • Los Angeles, CA
National Provider Identifier
1053873224
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
CASABLANCA OUTPATIENT
Practice address
3246 Cahuenga Blvd W
Los Angeles, CA 90068-1302
Phone
(818) 731-2738
NPI assigned
Apr 4, 2019
Organization subpart
Yes
Parent organization
CASABLANCA OUTPATIENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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

Authorized official

Name
Richard GalvanNPI 1326506841
Title
Owner
Phone
(818) 731-2738

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

3246 Cahuenga Blvd W
Los Angeles, CA 90068-1302

Mailing address

11319 Overlook TRL
Kagel Canyon, CA 91342-6200
Phone (818) 731-2738

National Provider Directory

National Provider Directory
Tax ID family
Casablanca Outpatient2 organizations share this tax ID, including this one
Part of
Casablanca Outpatient

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554336000000",
    "number": "1053873224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11319 OVERLOOK TRL",
            "city": "KAGEL CANYON",
            "state": "CA",
            "postal_code": "913426200",
            "telephone_number": "818-731-2738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3246 CAHUENGA BLVD W",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900681302",
            "telephone_number": "818-731-2738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASABLANCA OUTPATIENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CASABLANCA OUTPATIENT",
        "enumeration_date": "2019-04-04",
        "last_updated": "2019-04-04",
        "status": "A",
        "authorized_official_last_name": "GALVAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-731-2738"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; 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.