Organization Active NPI

Profound Treatment, LLC

Doing business as West Health

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1245878917
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
PROFOUND TREATMENT, LLC
Doing business as
West Health
Practice address
1990 Westwood Blvd Ste 350
Los Angeles, CA 90025-4674
Phone
(310) 600-2395
NPI assigned
Dec 12, 2019
Last updated
Feb 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Authorized official

Name
Trevis SmithNPI 1821256058
Title
Ceo
Phone
(310) 600-2395

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

1990 Westwood Blvd Ste 350
Los Angeles, CA 90025-4674

Mailing address

21300 Victory Blvd Ste 540
Woodland Hills, CA 91367-8089
Phone (310) 600-2395

Other names 1

  • West Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Profound Treatment2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1990 Westwood Blvd
Ste 305
Los Angeles, CA 90025

1990 Westwood Blvd
Ste 350
Los Angeles, CA 90025
Phone (310) 923-7969

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644796800000",
    "number": "1245878917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21300 VICTORY BLVD STE 540",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913678089",
            "telephone_number": "310-600-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 WESTWOOD BLVD STE 350",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900254674",
            "telephone_number": "310-600-2395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFOUND TREATMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-12",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TREVIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-600-2395"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "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": [
        {
            "organization_name": "West Health",
            "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 Feb 14, 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.