NPIMap

Organization Active NPI

Los Angeles Centers for Alcohol and Drug Abuse

  • Children's Substance Abuse Rehabilitation Facility
  • Whittier, CA
National Provider Identifier
1164787107
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
License
190100BN Issued in CA
Legal business name
LOS ANGELES CENTERS FOR ALCOHOL AND DRUG ABUSE
Practice address
15301 Youngwood Dr
Whittier, CA 90605-1345
Phone
(562) 906-2676
NPI assigned
Jul 5, 2012
Last updated
Jul 11, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
LOS ANGELES CENTERS FOR ALCOHOL AND DRUG ABUSEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

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

Authorized official

Name
Brenda Wiewel, LCSW
Title
Executive Director
Phone
(562) 906-2676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Substance Abuse Rehabilitation Facility 3245S0500X 190100BN CA Primary

Addresses

Primary practice location

15301 Youngwood Dr
Whittier, CA 90605-1345

Mailing address

11015 Bloomfield Ave
Santa Fe Springs, CA 90670-4601
Phone (562) 906-2676

Other names 1

  • La Serna Youth Services Other name

National Provider Directory

National Provider Directory
Tax ID family
La Cada42 organizations share this tax ID, including this one
Part of
La Cada

Other organizations with this tax ID 41

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

View all 41

Locations

15301 Youngwood Dr
Whittier, CA 90605

NPI Registry JSON

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341964800000",
    "number": "1164787107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11015 BLOOMFIELD AVE",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906704601",
            "telephone_number": "562-906-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15301 YOUNGWOOD DR",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906051345",
            "telephone_number": "562-906-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ANGELES CENTERS FOR ALCOHOL AND DRUG ABUSE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOS ANGELES CENTERS FOR ALCOHOL AND DRUG ABUSE",
        "enumeration_date": "2012-07-05",
        "last_updated": "2012-07-11",
        "status": "A",
        "authorized_official_last_name": "WIEWEL",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "562-906-2676",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "CA",
            "license": "190100BN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Serna Youth Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; 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.