National Provider Identifier Database

LA FUENTE HOLLYWOOD TREATMENT 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

LA FUENTE HOLLYWOOD TREATMENT CENTER LLC
5718 FOUNTAIN AVE
LOS ANGELES, CA90028-8516
Phone: 323-464-2947
Fax: 323-366-9339
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for LA FUENTE HOLLYWOOD TREATMENT CENTER LLC

NPI Number 1073887329
Legal business name
LBN
LA FUENTE HOLLYWOOD TREATMENT CENTER LLC
Authorized official MANUEL RODRIGUEZ - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 03/05/2012
Last updated 03/05/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: 190725AP

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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