Active NPI
Circle of Friends Outpatient Services Inc.
- Community/Behavioral Health Agency
- Los Angeles, CA
National Provider Identifier
1124140637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 190272AP
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02937706 | Other | CA | TREATMENT FACILITY |
National Provider Directory
National Provider Directory- Tax ID family
- Circle of Friends Outpatient Services Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Long Beach, CA
- NPI 1235340241
-
- Community/Behavioral Health Agency
- Los Angeles, CA
- NPI 1760693774
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.