Organization Active NPI

Hollywood Recovery Treatment Center

  • Genetic Counselor (M.S.)
  • Studio City, CA
National Provider Identifier
1972935005
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
Legal business name
HOLLYWOOD RECOVERY TREATMENT CENTER
Practice address
12500 Riverside Dr Ste 211
Studio City, CA 91607-3436
Phone
(818) 980-0849
Fax
(818) 980-0859
NPI assigned
Jul 31, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

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

Authorized official

Name
Mr. Martin Aguilar
Title
Executive Director
Phone
(818) 980-0849

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Genetic Counselor (M.S.)Group: 193200000X MULTI-SPECIALTY GROUP 170300000X Primary

Addresses

Primary practice location

12500 Riverside Dr Ste 211
Studio City, CA 91607-3436

Mailing address

12500 Riverside Dr Ste 211
Studio City, CA 91607-3436
Phone (818) 980-0849

National Provider Directory

National Provider Directory

Locations

12500 Riverside Dr
Ste 211
Studio City, CA 91607
Phone (818) 980-0849

NPI Registry JSON

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1972935005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12500 RIVERSIDE DR STE 211",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916073436",
            "telephone_number": "818-980-0849",
            "fax_number": "818-980-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12500 RIVERSIDE DR STE 211",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916073436",
            "telephone_number": "818-980-0849",
            "fax_number": "818-980-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYWOOD RECOVERY TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-31",
        "last_updated": "2013-07-31",
        "status": "A",
        "authorized_official_last_name": "AGUILAR",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "818-980-0849",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Genetic Counselor, MS",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Studio City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.