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Contact Information

8025 SEPULVEDA LLC
8025 SEPULVEDA BLVD
VAN NUYS, CA91402
 Phone: 818-782-7288
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Based Residential Treatment Facility, Mental Illness

320800000X
Indicates primary specialty

NPI Profile & details for 8025 SEPULVEDA LLC

NPI # 1619137460
LBN Legal business name 8025 SEPULVEDA LLC
Authorized official MARK SAMUELS - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/16/2008
Last updated 06/16/2008 - About 18 years ago
Identifiers n/a
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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