Advanced Iop Therapies, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ADVANCED IOP THERAPIES, LLC

Practice address

11936 Jefferson Blvd Ste B
Culver City, CA 90230-6333

Phone

(310) 572-7000

Fax

(310) 572-7003

NPI assigned

Sep 5, 2013

Last updated

Sep 5, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cynthia Sampson

Title

Chief Operations Officer

Phone

(310) 572-7000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1649605049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11936 JEFFERSON BLVD STE B",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306333",
            "telephone_number": "310-572-7000",
            "fax_number": "310-572-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11936 JEFFERSON BLVD STE B",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306333",
            "telephone_number": "310-572-7000",
            "fax_number": "310-572-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED IOP THERAPIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-05",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "SAMPSON",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "310-572-7000"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Culver City, CA
• Providers in Culver City, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.