RIDGEVIEW DRIVE RANCH, LLC; NPI #1124366406

Contact Information

RIDGEVIEW DRIVE RANCH, LLC

741 W WOODBURY RD
ALTADENA, CA 91001

Phone: 800-296-1868
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rehabilitation, Substance Use Disorder	261QR0405X

Indicates primary specialty

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NPI Profile & details for RIDGEVIEW DRIVE RANCH, LLC

NPI # 1124366406

LBN Legal business name RIDGEVIEW DRIVE RANCH, LLC

Authorized official LARRY THORNTON - (AUTHORIZED OFFICIAL)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/22/2013

Last updated 06/21/2018 - About 8 years ago

Identifiers

Other

190627GP

DHCS

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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