Soba Cheviot Hills LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

190822AP Issued in CA

Legal business name

SOBA CHEVIOT HILLS LLC

Practice address

3384 Motor Ave
Los Angeles, CA 90034-3712

Phone

(310) 457-2730

Fax

(310) 919-0319

NPI assigned

May 13, 2014

Organization subpart

No

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

Authorized official

Name

Michelle Johns

Title

Account Executive

Phone

(310) 457-2730

Specialties & licenses 2

Addresses

Other names 1

• CLUB SOBA Doing business as

Locations

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469750400000",
    "number": "1558772442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3384 MOTOR AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900343712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3384 MOTOR AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900343712",
            "telephone_number": "310-457-2730",
            "fax_number": "310-919-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOBA CHEVIOT HILLS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-13",
        "last_updated": "2016-07-29",
        "status": "A",
        "authorized_official_last_name": "JOHNS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "ACCOUNT EXECUTIVE",
        "authorized_official_telephone_number": "310-457-2730"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CA",
            "license": "190822AP",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLUB SOBA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Minkyung So
• Sunhee So, L.AC
• Suzanna So, PHD
• Bruna Soares Thompson, LCSW
• Marissa Soares
• Evan Sobel, M.D.
• Nancy Sobel, PSY.D.
• Linda Jane Sobelman, PH.D.
• Sober Life Inc.
• Eminely Soberanis

• 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 Jul 29, 2016; 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.