Mission Prep Healthcare
LBN: Mission Prep Healthcare
Mission Prep Healthcare is an health care organization with primary practice located at 28111 Palos Verdes Dr E , Rancho Palos Verdes CA 90275-5120. The organization recently has only one registered license in Residential Treatment Facilities / Psychiatric Residential Treatment Facility, which is considered as the primary health care specialty.
Mission Prep Healthcare can be contacted via phone (424) 328-5480, or through Farbman, Jeffrey via phone (949) 424-9921.
Contact Information
Primary practice address
28111 Palos Verdes Dr E
Rancho Palos Verdes CA 90275-5120
Phone: (424) 328-5480
Fax: (949) 579-2876
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Psychiatric Residential Treatment Facility | 323P00000X |
Profile Details
| NPI number | 1376278655 |
|---|---|
| LBN Legal business name | Mission Prep Healthcare |
| DBA Doing business as | |
| Authorized official | Farbman, Jeffrey |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 20th, 2022 |
| Last updated | Apr 29th, 2024 - about 8 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376278655 | NPPES |
| California | Other | 191230AP | STATE OF CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES |
| California | Other | 198209767 | STATE OF CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES |
| California | Other | 578314 | STATE OF CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES |
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