NPIMap

Organization Active NPI

Klean W. Hollywood, LLC.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • West Hollywood, CA
National Provider Identifier
1609281237
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
KLEAN W. HOLLYWOOD, LLC.
Practice address
9000 W Sunset Blvd Ste 650B
West Hollywood, CA 90069-5801
Phone
(310) 895-7095
NPI assigned
Jun 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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

Authorized official

Name
Darryl Booth
Title
Director of Operations
Phone
(888) 601-6040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

9000 W Sunset Blvd Ste 650B
West Hollywood, CA 90069-5801

Mailing address

9000 W Sunset Blvd Ste 650B
West Hollywood, CA 90069-5801

National Provider Directory

National Provider Directory
Tax ID family
Klean W Hollywood8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9000 W Sunset Blvd
Ste 650B
West Hollywood, CA 90069
Phone (310) 895-7095

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1609281237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 W SUNSET BLVD STE 650B",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900695801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 W SUNSET BLVD STE 650B",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900695801",
            "telephone_number": "310-895-7095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLEAN W. HOLLYWOOD, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-23",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "BOOTH",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "888-601-6040"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.