La Jolla Addiction Healing Center

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

370165AP Issued in CA

Legal business name

LA JOLLA ADDICTION HEALING CENTER

Practice address

9834 Genesee Avenue
Suite 427
La Jolla, CA 92037

Phone

(858) 454-4357

Fax

(858) 291-8611

NPI assigned

Feb 2, 2018

Last updated

Feb 2, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

LA JOLLA ADDICTION HEALING CENTERAs reported in NPPES

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

Authorized official

Name

Kamran Zafar

Title

Ceo

Phone

(858) 775-7752

Specialties & licenses 1

Addresses

Part of

La Jolla Addiction Healing Center

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• La Jolla Addiction Healing Center

  • Addiction (Substance Use Disorder) Counselor
  • La Jolla, CA
  • NPI 1093177099
  NPPES parent name

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517529600000",
    "number": "1558860726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7590 FAY AVENUE",
            "address_2": "SUITE 401",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "92037",
            "telephone_number": "858-454-4357",
            "fax_number": "858-291-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9834 GENESEE AVENUE",
            "address_2": "SUITE 427",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "92037",
            "telephone_number": "858-454-4357",
            "fax_number": "858-291-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA JOLLA ADDICTION HEALING CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LA JOLLA ADDICTION HEALING CENTER",
        "enumeration_date": "2018-02-02",
        "last_updated": "2018-02-02",
        "status": "A",
        "authorized_official_last_name": "ZAFAR",
        "authorized_official_first_name": "KAMRAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-775-7752"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "370165AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilson T Kwong, M.D.
• May Myintthanda Kyaw
• Mark C. Kyle, M.D.
• April Beth L'Heureux, L.M.F.T.
• La Jolla Addiction Healing Center
• La Jolla Anesthesia Associates LP
• La Jolla Anesthesia Services, Apnc
• La Jolla Behavior Services LLC
• La Jolla Cardiovascular & Thoracic Surgeons Medical Associates
• La Jolla Cardiovascular Research Institute, Inc (La Jolla Cardiovascular Research Institute)

• Addiction (Substance Use Disorder) Counselor in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2018; 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.