Epiphany House Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

EPIPHANY HOUSE INC.

Practice address

10655 Cushdon Ave
Los Angeles, CA 90064-3316

Phone

(626) 427-2477

Fax

(626) 844-2977

NPI assigned

May 22, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Brian Bresnan

Title

Executive Director

Phone

(626) 427-2477

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432252800000",
    "number": "1699154765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1246 S. BEDFORD DRIVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900350000",
            "telephone_number": "626-427-2477",
            "fax_number": "626-844-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10655 CUSHDON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900643316",
            "telephone_number": "626-427-2477",
            "fax_number": "626-844-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIPHANY HOUSE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-22",
        "last_updated": "2015-05-22",
        "status": "A",
        "authorized_official_last_name": "BRESNAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "626-427-2477",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Epic Solution and Logistics LLC (Vital-Link Transportation)
• Epicgenetics, Inc.
• Epidaurus (Amity Foundation)
• Epidaurus (Amity Foundation)
• Epidaurus Medical (Epidaurus Rehab Consultants)
• Daishan Monae Epperson
• Alexander Helmut Eppich, DC
• Jade Emery Eppler, RN
• Michael Eppler, MD
• Karen Lynn Epport, PH.D.

• Clinical Medical Laboratory in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; 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.