Active NPI
God'S Property Sober Living Foundation
- Internal Medicine Physician
- Los Angeles, CA
National Provider Identifier
1245637362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- GOD'S PROPERTY SOBER LIVING FOUNDATION
- Practice address
- 1704 W Manchester Ave
Suite 210
Los Angeles, CA 90047-3063 - Phone
- (323) 305-1538
- Fax
- (323) 305-1776
- NPI assigned
- Dec 4, 2014
- 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
- Mr. Steven Derrick Fleming
- Title
- President
- Phone
- (323) 420-7345
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Substance Abuse Rehabilitation Facility | 324500000X |
Addresses
Primary practice location
1704 W Manchester Ave
Suite 210
Los Angeles, CA 90047-3063
Mailing address
1704 W Manchester Ave
Suite 210
Los Angeles, CA 90047-3063
Phone (323) 305-1538
National Provider Directory
National Provider DirectoryLocations
1704 W Manchester Ave
Ste 210
Los Angeles, CA 90047
Phone (323) 305-1538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1417737600000",
"number": "1245637362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1704 W MANCHESTER AVE",
"address_2": "SUITE 210",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900473063",
"telephone_number": "323-305-1538",
"fax_number": "323-305-1776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1704 W MANCHESTER AVE",
"address_2": "SUITE 210",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900473063",
"telephone_number": "323-305-1538",
"fax_number": "323-305-1776"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOD'S PROPERTY SOBER LIVING FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-04",
"last_updated": "2014-12-05",
"status": "A",
"authorized_official_last_name": "FLEMING",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "DERRICK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "323-420-7345",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 Dec 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.