Mama and Papa Bear'S Innovations, Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

MAMA AND PAPA BEAR'S INNOVATIONS, INC

Practice address

5324 Fountain Ave
Los Angeles, CA 90029-1005

Phone

(323) 251-4490

NPI assigned

Mar 4, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Jack TaglyanNPI 1285191973

Title

Ceo

Phone

(323) 251-4490

Specialties & licenses 1

Addresses

Other names 1

• HOLLYWOOD BETTER HEALTH Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jack Taglyan

  • Addiction (Substance Use Disorder) Counselor
  • Los Angeles, CA
  • NPI 1285191973
  NPD (past) Authorized official

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551657600000",
    "number": "1689132284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5240 LOS DIEGOS WAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900271016",
            "telephone_number": "323-251-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5324 FOUNTAIN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291005",
            "telephone_number": "323-251-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAMA AND PAPA BEAR'S INNOVATIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-04",
        "last_updated": "2019-03-04",
        "status": "A",
        "authorized_official_last_name": "TAGLYAN",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-251-4490",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOLLYWOOD BETTER HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sean Tim Maluto
• Larry Paul Malveaux, PA-C
• Michelle Malwane, MD
• Rose Carmen Maly, MD
• Anastasia Malysheva
• Paul Andrei Mamac
• Mamai Wellness
• Janna Kharese Recibio Mamaid
• Annabelle Davina Maman, DPT
• Rishelle Maman, LCSW

• Substance Abuse Rehabilitation Facility in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.