Active NPI
Keystone LLC
- Substance Abuse Rehabilitation Facility
- Huntington Beach, CA
National Provider Identifier
1720575475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- KEYSTONE LLC
- Practice address
- 4782 Curtis Cir
Huntington Beach, CA 92649-4313 - Phone
- (253) 653-2243
- NPI assigned
- Apr 18, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dylan Walker
- Title
- Ceo
- Phone
- (253) 653-2243
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
4782 Curtis Cir
Huntington Beach, CA 92649-4313
Mailing address
4782 Curtis Cir
Huntington Beach, CA 92649-4313
Other names 1
- Keystone LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1524009600000",
"number": "1720575475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4782 CURTIS CIR",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926494313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4782 CURTIS CIR",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926494313",
"telephone_number": "253-653-2243"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEYSTONE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-18",
"last_updated": "2018-04-18",
"status": "A",
"authorized_official_last_name": "WALKER",
"authorized_official_first_name": "DYLAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "253-653-2243"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Keystone LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.