A Wildwood Recovery Iop

LBN: A Wildwood Recovery Iop
A Wildwood Recovery Iop is an health care organization with primary practice located at 166 N. Moorpark Rd Suite 304, Thousand Oaks CA 91360. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. A Wildwood Recovery Iop can be contacted via phone (805) 497-1900, or through Siaotong, Shannon via phone (805) 493-5741.

Contact Information

Primary practice address
166 N. Moorpark Rd Suite 304 Thousand Oaks CA 91360
Phone: (805) 497-1900
Fax: (805) 497-1920
Website:
Map and Directions
Authorized official contact:
Name: Siaotong, Shannon
Phone: (805) 493-5741

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 560040BP California

Profile Details

NPI number 1306323639
LBN Legal business name A Wildwood Recovery Iop
DBA Doing business as
Authorized official Siaotong, Shannon
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 19th, 2018
Last updated Jul 19th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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