Alta Drive Llc

LBN: Alta Drive Llc
Alta Drive Llc is an health care organization with primary practice located at 4015 Peoria Ave , Simi Valley CA 93063-1657. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Alta Drive Llc can be contacted via phone (805) 584-2592, or through Perez, Kyle via phone (310) 876-4681.

Contact Information

Primary practice address
4015 Peoria Ave Simi Valley CA 93063-1657
Phone: (805) 584-2592
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Perez, Kyle
Phone: (310) 876-4681

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1043802143
LBN Legal business name Alta Drive Llc
DBA Doing business as
Authorized official Perez, Kyle
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2021
Last updated Feb 9th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043802143 NPPES
California Other 1831741800 PPO

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