NPIMap

Organization Active NPI

Momentum Iop, LLC

  • Substance Abuse Rehabilitation Facility
  • Marina del Rey, CA
National Provider Identifier
1417567884
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
MOMENTUM IOP, LLC
Practice address
3101 Washington Blvd Ste B
Marina del Rey, CA 90292-5577
Phone
(310) 741-7199
NPI assigned
Jul 31, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Authorized official

Name
Katarina Svensson
Title
Owner
Phone
(310) 741-7199

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

3101 Washington Blvd Ste B
Marina del Rey, CA 90292-5577

Mailing address

3101 Washington Blvd Ste B
Marina del Rey, CA 90292-5577
Phone (310) 741-7199

National Provider Directory

National Provider Directory
Tax ID family
Momentum Iop LLC2 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

3101 Washington Blvd
Ste B
Marina del Rey, CA 90292
Phone (310) 741-7199

NPI Registry JSON

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596153600000",
    "number": "1417567884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 WASHINGTON BLVD STE B",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925577",
            "telephone_number": "310-741-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 WASHINGTON BLVD STE B",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925577",
            "telephone_number": "310-741-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTUM IOP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-31",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A",
        "authorized_official_last_name": "SVENSSON",
        "authorized_official_first_name": "KATARINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-741-7199"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marina del Rey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.