Immaculate Care Center Inc

LBN: Immaculate Care Center Inc
Immaculate Care Center Inc is an health care organization with primary practice located at 3540 Wilshire Blvd Suite 818, Los Angeles CA 90010-2307. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as the primary health care specialty. Immaculate Care Center Inc can be contacted via phone (213) 383-1124, or through Imakavar, Godday E. via phone (213) 383-1124.

Contact Information

Primary practice address
3540 Wilshire Blvd Suite 818 Los Angeles CA 90010-2307
Phone: (213) 383-1124
Fax: (213) 383-0261
Website:
Map and Directions
Authorized official contact:
Name: Imakavar, Godday E.
Phone: (213) 383-1124

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 190479AN California

Profile Details

NPI number 1275669871
LBN Legal business name Immaculate Care Center Inc
DBA Doing business as
Authorized official Imakavar, Godday E.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1275669871 NPPES
California Other 190479AN ADP

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