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  • Community/Behavioral Health Agency
  • Los Angeles, CA
National Provider Identifier
1134589153
Registry record updated May 2, 2022
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Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HAMBURGER HOME
Practice address
1015 S Lorena St
Los Angeles, CA 90023-2222
Phone
(323) 268-1128
NPI assigned
Mar 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Authorized official

Name
Lily Fowler, LCSW
Title
Assistant Vice President of MMHS
Phone
(213) 637-5000

Specialties & licenses 1

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

Addresses

Primary practice location

1015 S Lorena St
Los Angeles, CA 90023-2222

Mailing address

3580 Wilshire Blvd
Ste 800
Los Angeles, CA 90010-2501
Phone (213) 637-5000

Other names 1

  • Aviva Family and Children's Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Aviva Family and Children'S Services12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

1015 S Lorena St
Los Angeles, CA 90023
Phone (323) 268-1128

NPI Registry JSON

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1134589153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3580 WILSHIRE BLVD",
            "address_2": "STE 800",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102501",
            "telephone_number": "213-637-5000",
            "fax_number": "213-637-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 S LORENA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900232222",
            "telephone_number": "323-268-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMBURGER HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-03",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "LILY",
        "authorized_official_title_or_position": "ASSISTANT VICE PRESIDENT OF  MMHS",
        "authorized_official_telephone_number": "213-637-5000",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aviva Family and Children's Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aviva Family and Children's Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 2, 2022; 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.