Organization Active NPI

Wilshire Treatment Center, Inc.

  • Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1699910794
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
19133 Issued in CA
Legal business name
WILSHIRE TREATMENT CENTER, INC.
Practice address
11901 Santa Monica Blvd
Ste. 204
Los Angeles, CA 90025-2767
Phone
(310) 268-2446
Fax
(310) 479-0861
NPI assigned
Dec 4, 2008
Last updated
Dec 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

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

Authorized official

Name
Ms. Shahla Karimi, MA
Title
Director
Phone
(310) 268-2446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 19133 CA Primary

Addresses

Primary practice location

11901 Santa Monica Blvd
Ste. 204
Los Angeles, CA 90025-2767

Mailing address

11901 Santa Monica Blvd
Ste. 204
Los Angeles, CA 90025-2767
Phone (310) 268-2446

National Provider Directory

National Provider Directory
Tax ID family
Wilshire Treatment Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1699910794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11901 SANTA MONICA BLVD",
            "address_2": "STE. 204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900252767",
            "telephone_number": "310-268-2446",
            "fax_number": "310-479-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 SANTA MONICA BLVD",
            "address_2": "STE. 204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900252767",
            "telephone_number": "310-268-2446",
            "fax_number": "310-479-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSHIRE TREATMENT CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-04",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "KARIMI",
        "authorized_official_first_name": "SHAHLA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-268-2446",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "19133",
            "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 Dec 4, 2008; 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.