Las Virgenes Behavioral Health and Medical Clinic, Inc

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

Legal business name

LAS VIRGENES BEHAVIORAL HEALTH AND MEDICAL CLINIC, INC

Practice address

30101 Agoura CT Ste 100
Agoura Hills, CA 91301-4301

Phone

(818) 879-9018

Fax

(818) 879-9013

NPI assigned

Jun 18, 2007

Last updated

Mar 27, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Irina Chmeleva

Title

Biller

Phone

(818) 879-9018

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522108800000",
    "number": "1720283096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30101 AGOURA CT STE 100",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014301",
            "telephone_number": "818-879-9018",
            "fax_number": "818-879-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30101 AGOURA CT STE 100",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014301",
            "telephone_number": "818-879-9018",
            "fax_number": "818-879-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS VIRGENES BEHAVIORAL HEALTH AND MEDICAL CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2018-03-27",
        "status": "A",
        "authorized_official_last_name": "CHMELEVA",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "818-879-9018"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danita Lai, O.D.
• Lakeside Community Healthcare
• Christine-Mai Lam
• Brittany Lynn Lamoureux, D.M.D.
• Laura Lapiana, PSY.D.
• Laura Lapiana, Psy.D., a Prof. Corp.
• Alison Jamie Lee, PH.D.
• Grace Yue Lee, O.M.D.
• Yoocheol Lee, LAC
• Young Tae Lee, PNHNP

• Addiction Medicine (Psychiatry & Neurology) Physician in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.