Mylife Recovery Centers, a Medical Corp.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MYLIFE RECOVERY CENTERS, A MEDICAL CORP.

Practice address

108 La Casa Via
Suite 106
Walnut Creek, CA 94598-3013

Phone

(925) 201-6400

Fax

(818) 736-5846

NPI assigned

Oct 23, 2014

Last updated

Jan 30, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

MYLIFE RECOVERY CENTERSAs reported in NPPES

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

Authorized official

Name

Dr. Albert Lai, M.D.

Title

Medical Director

Phone

(818) 736-5836

Specialties & licenses 3

Addresses

Part of

Mylife Recovery Centers a Medical Corp

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1619372380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10061 RIVERSIDE DR",
            "address_2": "#874",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916022560",
            "telephone_number": "818-736-5836",
            "fax_number": "818-736-5846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 LA CASA VIA",
            "address_2": "SUITE 106",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983013",
            "telephone_number": "925-201-6400",
            "fax_number": "818-736-5846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYLIFE RECOVERY CENTERS, A MEDICAL CORP.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MYLIFE RECOVERY CENTERS",
        "enumeration_date": "2014-10-23",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "LAI",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "818-736-5836",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlie Ann Myers
• Chelsea Myers, RBT
• Katherine Bradford Myers, LCSW
• Melinda Lenore Myers, MD
• Tamara Lynne Myers, CRNA
• Iryna A. Mysnyk, DMD
• N. Boloorchi D.D.S. Inc.
• Elizabeth Noel Nabeshima, PSY.D.
• Abubakr Nabi
• Zoltan Janos Nabilek, PSY.D.

• General Practice Physician in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.