1114300597 NPI number — PLATINUM BEHAVIORAL MANAGEMENT

Table of content: (NPI 1114300597)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1114300597 NPI number — PLATINUM BEHAVIORAL MANAGEMENT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PLATINUM BEHAVIORAL MANAGEMENT
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1114300597
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/03/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
18003 FLYNN DR
Provider Second Line Business Mailing Address:
UNIT 542
Provider Business Mailing Address City Name:
CANYON COUNTRY
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91387-4919
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
661-992-3610
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
18003 FLYNN DR
Provider Second Line Business Practice Location Address:
UNIT 542
Provider Business Practice Location Address City Name:
CANYON COUNTRY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91387-4919
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-992-3610
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/03/2015

Additional Information

Authorized Official

Authorized Official Last Name:
BENJAMIN
Authorized Official First Name:
KIMBERLY
Authorized Official Middle Name:
MICHELLE
Authorized Official Title or Position:
CO OWNER
Authorized Official Telephone Number:
661-992-3610

Provider Taxonomy Codes

  • Taxonomy code: 252Y00000X , with the licence number:  1-12-11854 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251S00000X , with the licence number: 1-12-11854 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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