National Provider Identifier Database

GENESIS REHABILITATION CENTER LLC
Substance Abuse Disorder Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.


Contact Information

GENESIS REHABILITATION CENTER, LLC
3440 WILSHIRE BLVD STE 909
LOS ANGELES, CA90010-2101
Phone: 213-739-9982
Fax: 213-739-9983
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X
Addiction (Substance Use Disorder) 101YA0400X

* Indicates primary specialty

NPI Profile & details for GENESIS REHABILITATION CENTER, LLC

NPI Number 1023526209
Legal business name
LBN
GENESIS REHABILITATION CENTER, LLC
Authorized official GEORGE MORENO - (PROGRAM DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 01/22/2018
Last updated 10/10/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: 190039AP

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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