California Drug Treatment Program, Inc.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

CALIFORNIA DRUG TREATMENT PROGRAM, INC.

Practice address

915 W Washington Blvd
Suite B
Los Angeles, CA 90015-3311

Phone

(213) 747-0054

Fax

(213) 747-9515

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Osayande Aghazebamwan

Title

Ceo

Phone

(213) 747-0054

Specialties & licenses 1

Addresses

Tax ID family

California Drug Treatment Program2 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.

• California Drug Treatment Program

  • Community/Behavioral Health Agency
  • Los Angeles, CA
  • NPI 1417378514
  NPD tax ID

Locations

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376761361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 W WASHINGTON BLVD",
            "address_2": "SUITE B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153311",
            "telephone_number": "213-747-0054",
            "fax_number": "213-747-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 W WASHINGTON BLVD",
            "address_2": "SUITE B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153311",
            "telephone_number": "213-747-0054",
            "fax_number": "213-747-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA DRUG TREATMENT PROGRAM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AGHAZEBAMWAN",
        "authorized_official_first_name": "OSAYANDE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-747-0054"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• California Daily Comfort, Inc. (Daily Comfort Home Health)
• California Department of Mental Health
• California Detox & Recovery Center
• California Drug Treatment Program
• California Drug Treatment Program, Inc
• California Em-I Medical Services
• California Em-I Medical Services
• California Emergency Physicians Medical Group
• California Eye Center
• California Eye Medical Center Inc

• Substance Use Disorder Rehabilitation Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center 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.