Realization Center LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

190663AP Issued in CA

Legal business name

REALIZATION CENTER LLC

Practice address

26066 Mulholland Hwy
Calabasas, CA 91302-1916

Phone

(818) 880-2193

NPI assigned

Mar 11, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Gary Verboon

Title

Executive Director

Phone

(818) 880-2193

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236729600000",
    "number": "1073754784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23853 PACIFIC COAST HWY",
            "address_2": "SUITE 540",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "90265",
            "telephone_number": "818-880-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26066 MULHOLLAND HWY",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021916",
            "telephone_number": "818-880-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REALIZATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-11",
        "last_updated": "2009-03-11",
        "status": "A",
        "authorized_official_last_name": "VERBOON",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "818-880-2193",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "190663AP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA DEPARTMENT OF DRUG AND ALCOHOL PROGRAMS",
            "identifier": "190663AP",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Ramirez
• Sarah Randall, PSY.D.
• Sundeep K. Randhawa, M.D.
• Amin Rasul, M.D.
• Silas Ratajczyk
• Madeline Reams
• Regents of the University of California
• Camille Reinecker, LMFT
• Remedy Wellness LLC
• Talea Rendon

• Substance Abuse Rehabilitation Facility in Calabasas, CA
• Providers in Calabasas, 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 Mar 11, 2009; 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.