Emq Hollygrove

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

322D00000X Issued in CA

Legal business name

EMQ HOLLYGROVE

Practice address

815 N El Centro Ave
Los Angeles, CA 90038-3805

Phone

(323) 463-2119

NPI assigned

Jun 25, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Deric Martez Horton, BA MHRS

Title

Day Rehabilitation Specialist

Phone

(323) 463-2119

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275739401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 S WESTMORELAND AVE",
            "address_2": "APT. 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900065669",
            "telephone_number": "213-252-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 N EL CENTRO AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900383805",
            "telephone_number": "323-463-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMQ HOLLYGROVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HORTON",
        "authorized_official_first_name": "DERIC",
        "authorized_official_middle_name": "MARTEZ",
        "authorized_official_title_or_position": "DAY REHABILITATION SPECIALIST",
        "authorized_official_telephone_number": "323-463-2119",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BA MHRS"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "CA",
            "license": "322D00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Empowerment Psychology, a Professional Psychology Corporation
• Susannah Ford Empson, MD
• Emq
• Emq Children and Family Services
• Emq Hollygrove
• Shahin Emrani, D.C.
• Armen Emurian, M.A., LMFT
• Emvid Resources Management Inc
• Emw Center for Holistic Medicine
• En Route Medical Staffing LLC

• Emotionally Disturbed Childrens' Residential Treatment Facility in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.