The Pajo Corporation

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

19.151 Issued in CA

Legal business name

THE PAJO CORPORATION

Doing business as

Tri City Institute South

Practice address

11900 Avalon Blvd
Suite 200
Los Angeles, CA 90061-2837

Phone

(323) 242-0500

Fax

(323) 242-0600

NPI assigned

Feb 27, 2007

Last updated

May 24, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

THE PAJO CORPORATIONAs reported in NPPES

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

Authorized official

Name

Mrs. Carolyn Perry, PA

Title

Executive Director

Phone

(323) 242-0500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tri City Institute South Doing business as

Tax ID family

The Pajo Corporation2 organizations share this tax ID, including this one

Part of

The Pajo Corporation

Other organizations with this tax ID 1

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

• The Pajo Corp

  dba Tri City Institute

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Century City, CA
  • NPI 1245389725
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• The Pajo Corp

  dba Tri City Institute

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Century City, CA
  • NPI 1245389725
  NPPES parent name

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1649307869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11900 AVALON BLVD",
            "address_2": "SUITE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900612837",
            "telephone_number": "323-242-0500",
            "fax_number": "323-242-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 AVALON BLVD",
            "address_2": "SUITE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900612837",
            "telephone_number": "323-242-0500",
            "fax_number": "323-242-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PAJO CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE PAJO CORPORATION",
        "enumeration_date": "2007-02-27",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "323-242-0500",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CA",
            "license": "19.151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HDC70115F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri City Institute South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Substance Use Disorder Rehabilitation Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.