Active NPI
Management, Inc.
- Substance Use Disorder Rehabilitation Clinic/Center
- Beverly Hills, CA
National Provider Identifier
1336847979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- MANAGEMENT, INC.
- Practice address
- 9665 Wilshire Blvd
Beverly Hills, CA 90212-2340 - Phone
- (310) 927-6118
- NPI assigned
- Feb 22, 2023
- 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
- Michael Werner
- Title
- Administrator
- Phone
- (310) 927-6118
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
9665 Wilshire Blvd
Beverly Hills, CA 90212-2340
Mailing address
9665 Wilshire Blvd
Beverly Hills, CA 90212-2340
Phone (310) 927-6118
Other names 1
- Synergy Recovery
National Provider Directory
National Provider Directory- Tax ID family
- Management Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Los Angeles, CA
- NPI 1639854912
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Los Angeles, CA
- NPI 1730864026
Locations
9665 Wilshire Blvd
Beverly Hills, CA 90212
Phone (310) 927-6118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686096000000",
"number": "1336847979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9665 WILSHIRE BLVD",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902122340",
"telephone_number": "310-927-6118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9665 WILSHIRE BLVD",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902122340",
"telephone_number": "310-927-6118"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANAGEMENT, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-22",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A",
"authorized_official_last_name": "WERNER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "310-927-6118"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Synergy Recovery",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.