NPIMap

Organization Active NPI

Dual Diagnosis Assessment and Treatment Center, Inc.

  • Health Service Clinic/Center
  • Inglewood, CA
National Provider Identifier
1679892947
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
DUAL DIAGNOSIS ASSESSMENT AND TREATMENT CENTER, INC.
Practice address
5354 W 64TH St
Inglewood, CA 90302-1042
Phone
(310) 590-4537
Fax
(310) 590-4538
NPI assigned
May 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2010

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

Authorized official

Name
Edna Miller
Title
Director
Phone
(310) 590-4537

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

5354 W 64TH St
Inglewood, CA 90302-1042

Mailing address

19300 Rinaldi St
Ste. 8270
Northridge, CA 91326-1651
Phone (310) 590-4537

Other identifiers 1

IdentifierTypeStateIssuer
CMM71096FOtherCAMEDI-CAL

National Provider Directory

National Provider Directory
Tax ID family
Dual Diagnosis Assessment and Treatment Center Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

5354 W 64th St
Inglewood, CA 90302
Phone (310) 590-4537

NPI Registry JSON

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1679892947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19300 RINALDI ST",
            "address_2": "STE. 8270",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913261651",
            "telephone_number": "310-590-4537",
            "fax_number": "310-590-4538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5354 W 64TH ST",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903021042",
            "telephone_number": "310-590-4537",
            "fax_number": "310-590-4538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUAL DIAGNOSIS ASSESSMENT AND TREATMENT CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "EDNA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-590-4537"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "CMM71096F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; 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.