Organization Active NPI

Key Mentoring 2 LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Los Angeles, CA
National Provider Identifier
1609697168
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
KEY MENTORING 2 LLC
Practice address
10990 Wilshire Blvd Ste 1650
Los Angeles, CA 90024-3927
Phone
(310) 850-9092
NPI assigned
Oct 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Authorized official

Name
Evan Powell
Title
Managing Partner
Phone
(310) 850-9092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

10990 Wilshire Blvd Ste 1650
Los Angeles, CA 90024-3927

Mailing address

10990 Wilshire Blvd Ste 1650
Los Angeles, CA 90024-3927
Phone (310) 850-9092

National Provider Directory

National Provider Directory

Locations

10990 Wilshire Blvd
Ste 1650
Los Angeles, CA 90024
Phone (310) 850-9092

NPI Registry JSON

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1609697168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10990 WILSHIRE BLVD STE 1650",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900243927",
            "telephone_number": "310-850-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10990 WILSHIRE BLVD STE 1650",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900243927",
            "telephone_number": "310-850-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY MENTORING 2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "310-850-9092"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.