Southern California Recovery LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

19084AP Issued in CA

Legal business name

SOUTHERN CALIFORNIA RECOVERY LLC

Practice address

1771 Summitridge Dr
Beverly Hills, CA 90210-1607

Phone

(310) 948-6446

NPI assigned

Sep 4, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Loceff

Title

Chief Administrative Officer

Phone

(561) 578-8600

Specialties & licenses 1

Addresses

Other names 1

• Forefront Health of Beverly Hills Doing business as

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441324800000",
    "number": "1124496377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 HOOD RD",
            "address_2": "#101",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334188910",
            "telephone_number": "561-578-8600",
            "fax_number": "561-578-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 SUMMITRIDGE DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902101607",
            "telephone_number": "310-948-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-04",
        "last_updated": "2015-09-04",
        "status": "A",
        "authorized_official_last_name": "LOCEFF",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "561-578-8600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "19084AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forefront Health of Beverly Hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Substance Abuse Rehabilitation Facility in Beverly Hills, CA
• Providers in Beverly Hills, 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 Sep 4, 2015; 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.