Organization Active NPI

Conscious Living Treatment Center

  • Substance Abuse Rehabilitation Facility
  • Los Angeles, CA
National Provider Identifier
1619256369
Registry record updated Aug 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
CONSCIOUS LIVING TREATMENT CENTER
Practice address
10787 Wilshire Blvd
Los Angeles, CA 90024
Phone
(818) 235-9142
Fax
(443) 588-2995
NPI assigned
Aug 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2011

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

Authorized official

Name
Dr. A Joseph Jobrani, M.D.
Title
Clinic Director & Sponsor
Phone
(818) 235-9141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

10787 Wilshire Blvd
Los Angeles, CA 90024

Mailing address

10787 Wilshire Blvd
Los Angeles, CA 90024
Phone (818) 235-9142

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313107200000",
    "number": "1619256369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10787 WILSHIRE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90024",
            "telephone_number": "818-235-9142",
            "fax_number": "443-588-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10787 WILSHIRE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90024",
            "telephone_number": "818-235-9142",
            "fax_number": "443-588-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSCIOUS LIVING TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-12",
        "last_updated": "2011-08-12",
        "status": "A",
        "authorized_official_last_name": "JOBRANI",
        "authorized_official_first_name": "A JOSEPH",
        "authorized_official_title_or_position": "CLINIC DIRECTOR & SPONSOR",
        "authorized_official_telephone_number": "818-235-9141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "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 Aug 12, 2011; 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.