Organization Active NPI

Circle of Friends Outpatient Services Inc.

  • Community/Behavioral Health Agency
  • Los Angeles, CA
National Provider Identifier
1124140637
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
190272AP Issued in CA
Legal business name
CIRCLE OF FRIENDS OUTPATIENT SERVICES INC.
Practice address
715 N Ridgewood PL
Los Angeles, CA 90038-3105
Phone
(323) 465-5888
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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

Authorized official

Name
Steven Proshak
Title
Ceo
Phone
(323) 465-5888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 190272AP CA Primary

Addresses

Primary practice location

715 N Ridgewood PL
Los Angeles, CA 90038-3105

Mailing address

715 N Ridgewood PL
Los Angeles, CA 90038-3105
Phone (323) 465-5888

Other identifiers 1

IdentifierTypeStateIssuer
02937706OtherCATREATMENT FACILITY

National Provider Directory

National Provider Directory
Tax ID family
Circle of Friends Outpatient Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

715 N Ridgewood Pl
Los Angeles, CA 90038
Phone (323) 465-5888

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313971200000",
    "number": "1124140637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 N RIDGEWOOD PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900383105",
            "telephone_number": "323-465-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 N RIDGEWOOD PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900383105",
            "telephone_number": "323-465-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE OF FRIENDS OUTPATIENT SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2011-08-22",
        "status": "A",
        "authorized_official_last_name": "PROSHAK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-465-5888"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "190272AP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TREATMENT FACILITY",
            "identifier": "02937706",
            "state": "CA"
        }
    ],
    "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 Aug 22, 2011; 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.