McBroom Recovery Center LLC

Primary specialty

Recovery Care Clinic/CenterTaxonomy code 261QR0800X

Legal business name

MCBROOM RECOVERY CENTER LLC

Practice address

11044 McBroom St
Sunland, CA 91040-1267

Phone

(747) 238-1390

NPI assigned

Feb 24, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Vagan Oganyan

Title

Ceo

Phone

(747) 238-1390

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1677196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1235838640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11044 MCBROOM ST",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910401267",
            "telephone_number": "747-238-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11044 MCBROOM ST",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910401267",
            "telephone_number": "747-238-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCBROOM RECOVERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-24",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "OGANYAN",
        "authorized_official_first_name": "VAGAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-238-1390",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Recovery Care Clinic/Center in Sunland, CA
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• Recovery Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.