NPIMap

Organization Active NPI

Camden Residential Program, Inc.

  • Substance Abuse Rehabilitation Facility
  • Los Angeles, CA
National Provider Identifier
1699168732
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
A112538 Issued in CA
Legal business name
CAMDEN RESIDENTIAL PROGRAM, INC.
Practice address
530 Hilgard Ave
Los Angeles, CA 90024-3224
Phone
(844) 422-6336
Fax
(888) 887-2955
NPI assigned
Mar 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2015

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

Authorized official

Name
Miss Jessica Klein
Title
Director of Operations
Phone
(844) 422-6336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X A112538 CA Primary

Addresses

Primary practice location

530 Hilgard Ave
Los Angeles, CA 90024-3224

Mailing address

10780 Santa Monica Blvd
Suite 105
Los Angeles, CA 90025-4749
Phone (844) 422-6336

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435017600000",
    "number": "1699168732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10780 SANTA MONICA BLVD",
            "address_2": "SUITE 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900254749",
            "telephone_number": "844-422-6336",
            "fax_number": "888-887-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 HILGARD AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900243224",
            "telephone_number": "844-422-6336",
            "fax_number": "888-887-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMDEN RESIDENTIAL PROGRAM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-13",
        "last_updated": "2015-06-23",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "844-422-6336",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "A112538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.