11821 Foothill Blvd

  • 1164767356 NPI Number
  • |
  • Actived: 11 years ago
  • |
11821 Foothill Blvd is a health care provider based in Los Angeles, CA. The NPI Number is 1164767356 and it has been active since 11 years ago. The specialty is Addiction (Substance Use Disorder), providing comprehensive mental health services to individuals, families, and communities. If you are looking for Addiction (Substance Use Disorder) services, 11821 Foothill Blvd is an excellent option. We are here to help you get the care you need.

Recently Active NPIs

Overview of 11821 Foothill Blvd

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 11/29/2012
  • Last updated: 11/29/2012

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 11821 Foothill Blvd # K35
    Lake View Terrace, CA 91342
  • Phone: 818-694-7206
  • Fax:

Provider Practice Location

  • Address: 5436 S. Broadway
    Los Angeles, CA 90037
  • Phone: 818-694-7206
  • Fax:

Authorized Official

  • Name: MR. Derrick Bradley Fortune BSHS
  • Position/Title: Counselor
  • Telephone Number: 818-694-7206

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number:
  • License State:
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for 11821 Foothill Blvd?
  • A: The npi number for 11821 Foothill Blvd is 1164767356.
  • Q: What are 11821 Foothill Blvd's specialties?
  • A: 11821 Foothill Blvd's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: Where is 11821 Foothill Blvd business practice location?
  • A: 11821 Foothill Blvd business practice location is 5436 S. Broadway, Los Angeles, CA 90037.
  • Q: How to contact 11821 Foothill Blvd?
  • A: You can contact 11821 Foothill Blvd via 818-694-7206.
  • Q: What is the authorized official for 11821 Foothill Blvd?
  • A: The authorized office name is MR. Derrick Bradley Fortune BSHS with position/title is Counselor and you can reach the authorized official via phone number 8186947206.