180 Center la
Organization Active NPI Substance Abuse Rehabilitation Facility · Beverly Hills, CA
NPI 1447541248 · NPPES record last updated Apr 27, 2011
Key facts
- NPI
- 1447541248
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- License
- 190704AP (CA)
- Legal business name
- 180 CENTER LA
- Practice address
- 1775 Summitridge Dr
Beverly Hills, CA 90210-1607 - Phone
- (888) 588-4180
- NPI assigned
- Apr 27, 2011
- Organization subpart
- No
Authorized official
- Name
- Alex Sherbet
- Title
- Ceo
- Phone
- (323) 899-9115
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- 1775 Summitridge Drive LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 190704AP | CA | Yes |
Addresses
Primary practice location
1775 Summitridge Dr
Beverly Hills, CA 90210-1607
Mailing address
1775 Summitridge Dr
Beverly Hills, CA 90210-1607
Phone (888) 588-4180
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All providers in Beverly Hills, CA · Substance Abuse Rehabilitation Facility in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.