Active NPI
Conscious Living Treatment Center
- Substance Abuse Rehabilitation Facility
- Los Angeles, CA
National Provider Identifier
1619256369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.