Organization Active NPI

Tarzana Treatment Center

  • Chronic Disease Hospital
  • Long Beach, CA
National Provider Identifier
1497134423
Registry record updated May 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Chronic Disease HospitalTaxonomy code 281P00000X
Legal business name
TARZANA TREATMENT CENTER
Practice address
5190 Atantic Ave.
Long Beach, CA 90805-4588
Phone
(562) 428-4111
Fax
(562) 984-5610
NPI assigned
May 22, 2015
Last updated
May 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2015

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

Authorized official

Name
Ms. Veronica Moya, CAADE
Title
Operation Supervisor
Phone
(562) 428-4111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chronic Disease Hospital 281P00000X CA Primary

Addresses

Primary practice location

5190 Atantic Ave.
Long Beach, CA 90805-4588

Mailing address

5190 Atantic Ave.
Long Beach, CA 90805
Phone (562) 428-4111

National Provider Directory

National Provider Directory

Locations

5190 Atlantic Ave
Long Beach, CA 90805
Phone (562) 428-4111

NPI Registry JSON

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432252800000",
    "number": "1497134423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5190 ATANTIC AVE.",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90805",
            "telephone_number": "562-428-4111",
            "fax_number": "562-984-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5190 ATANTIC AVE.",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908054588",
            "telephone_number": "562-428-4111",
            "fax_number": "562-984-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARZANA TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-22",
        "last_updated": "2015-05-22",
        "status": "A",
        "authorized_official_last_name": "MOYA",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "OPERATION SUPERVISOR",
        "authorized_official_telephone_number": "562-428-4111",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CAADE"
    },
    "taxonomies": [
        {
            "code": "281P00000X",
            "taxonomy_group": "",
            "desc": "Chronic Disease Hospital",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; 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.