2432 Walnut LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

190438A Issued in CA

Legal business name

2432 WALNUT LLC

Doing business as

Clearview Treatment Program

Practice address

2432 Walnut Ave
Venice, CA 90291-5019

Phone

(310) 448-8822

NPI assigned

Apr 14, 2014

Last updated

Apr 14, 2014By 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

Emily Cohen

Title

Administrative Director

Phone

(310) 862-8980

Specialties & licenses 1

Addresses

Other names 1

• Clearview Treatment Program Doing business as

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397433600000",
    "number": "1831518216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 COEUR D ALENE AVE",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902914928",
            "telephone_number": "310-862-8980",
            "fax_number": "310-862-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2432 WALNUT AVE",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902915019",
            "telephone_number": "310-448-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2432 WALNUT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-14",
        "last_updated": "2014-04-14",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "310-862-8980"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "190438A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clearview Treatment Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 220 Fitness Concepts
• Tania Abea-Hernandez
• Kayla Abrams
• Acutonix
• Amanda Adams
• Ashley C Adams

• Substance Abuse Rehabilitation Facility in Venice, CA
• Providers in Venice, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; 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.