Casablanca Soberliving LLC.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

CASABLANCA SOBERLIVING LLC.

Practice address

12455 Sarah St
Studio City, CA 91604-1259

Phone

(818) 731-2738

NPI assigned

Mar 14, 2019

Organization subpart

No

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

Authorized official

Name

Richard GalvanNPI 1326506841

Title

Owner

Phone

(818) 731-2738

Specialties & licenses 1

Addresses

Tax ID family

Casablanca Outpatient2 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.

• Casablanca Outpatient

  • Substance Abuse Rehabilitation Facility
  • Los Angeles, CA
  • NPI 1053873224
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Galvan

  • Substance Abuse Rehabilitation Facility
  • Studio City, CA
  • NPI 1326506841
  NPD Authorized official

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552521600000",
    "number": "1851850382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11319 OVERLOOK TRL",
            "city": "KAGEL CANYON",
            "state": "CA",
            "postal_code": "913426200",
            "telephone_number": "818-731-2738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12455 SARAH ST",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916041259",
            "telephone_number": "818-731-2738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASABLANCA SOBERLIVING LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-14",
        "last_updated": "2019-03-14",
        "status": "A",
        "authorized_official_last_name": "GALVAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-731-2738"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in Studio City, CA
• Providers in Studio City, 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 Mar 14, 2019; 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.