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Contact Information

NOVO DETOX
11346 THURSTON PL
LOS ANGELES, CA90049-2429
 Phone: 602-430-7543
 Fax:
 Website:
Indicates primary specialty

NPI Profile & details for NOVO DETOX

NPI # 1194242966
LBN Legal business name NOVO DETOX
Authorized official MATTHEW ZIERING - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/23/2017
Last updated 07/21/2022 - About 4 years ago
Identifiers
CA Other 190982AP STATE LICENSE
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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