Wilshire Treatment Center, Inc

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

License

19133 Issued in CA

Legal business name

WILSHIRE TREATMENT CENTER, INC

Practice address

11901 Santa Monica Blvd Ste 204
Los Angeles, CA 90025-2783

Phone

(310) 268-2446

Fax

(310) 479-0861

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Kat Karimi, MBA

Title

Program Director

Phone

(310) 268-2446

Specialties & licenses 1

Addresses

Tax ID family

Wilshire Treatment Center Inc2 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.

• Wilshire Treatment Center, Inc.

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1699910794
  NPD tax ID

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1497885081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11901 SANTA MONICA BLVD STE 204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900252783",
            "telephone_number": "310-268-2446",
            "fax_number": "310-479-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 SANTA MONICA BLVD STE 204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900252783",
            "telephone_number": "310-268-2446",
            "fax_number": "310-479-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSHIRE TREATMENT CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "KARIMI",
        "authorized_official_first_name": "KAT",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "310-268-2446",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "CA",
            "license": "19133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilshire Oral Surgery & Implant Center
• Wilshire Orthopaedic and Medical Associates Inc
• Wilshire Radiology
• Wilshire Radiology MRI Inc
• Wilshire Sleep Treatment Center, LLC
• Wilshire Treatment Center, Inc.
• Wilshire Valley Therapy Center
• Wilshire Vista Manor
• Wilshire Wellness Center
• Wilshire Wellness, Inc

• Methadone Clinic in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Methadone Clinic in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.