1336227537 NPI number — STAR VIEW BEHAVIORAL HEALTH, INC.

Table of content: (NPI 1336227537)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336227537 NPI number — STAR VIEW BEHAVIORAL HEALTH, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
STAR VIEW BEHAVIORAL HEALTH, INC.
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:
6
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:
1336227537
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/23/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1625 W OLYMPIC BLVD
Provider Second Line Business Mailing Address:
SUITE 600
Provider Business Mailing Address City Name:
LOS ANGELES
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90015-3809
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
323-999-2404
Provider Business Mailing Address Fax Number:
213-201-2954

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1625 W OLYMPIC BLVD
Provider Second Line Business Practice Location Address:
SUITE 600
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90015-3809
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-999-2404
Provider Business Practice Location Address Fax Number:
213-201-2954
Provider Enumeration Date:
11/02/2006

Additional Information

Authorized Official

Authorized Official Last Name:
DUNLAP
Authorized Official First Name:
KENT
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT AND CHIEF EXECUTIVE OFFIC
Authorized Official Telephone Number:
310-221-6336

Provider Taxonomy Codes

  • Taxonomy code: 171M00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QM0855X , 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)

  • Identifier: 7503 . This is a "STATE DMH PROVIDER" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 614048-73 . This is a "CITY OF L.A. BUSINESS TAX" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com