National Provider Identifier Database

COMMUNITY CLINIC AND HEALTH CARE
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

COMMUNITY CLINIC AND HEALTH CARE
6715 MELROSE AVE
LOS ANGELES, CA90038-3411
Phone: 818-601-5878
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for COMMUNITY CLINIC AND HEALTH CARE

NPI Number 1568869709
Legal business name
LBN
COMMUNITY CLINIC AND HEALTH CARE
Authorized official KIRSTEN WALLACE - (CEO)
Entity Organization
Organization subpart No
Enumeration date 12/03/2014
Last updated 12/03/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: 538463

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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