Novo Detox
LBN: Novo Detox
Novo Detox is an health care organization with primary practice located at 11346 Thurston Pl , Los Angeles CA 90049-2429. The organization recently has 4 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Hospital Units / Rehabilitation, Substance Use Disorder Unit, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty.
Novo Detox can be contacted via phone (602) 430-7543, or through Ziering, Matthew via phone (310) 663-8890.
Contact Information
Primary practice address
11346 Thurston Pl
Los Angeles CA 90049-2429
Phone: (602) 430-7543
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Hospital Units / Rehabilitation, Substance Use Disorder Unit | 276400000X | ||
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | ||
| Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X |
Profile Details
| NPI number | 1194242966 |
|---|---|
| LBN Legal business name | Novo Detox |
| DBA Doing business as | |
| Authorized official | Ziering, Matthew |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 23rd, 2017 |
| Last updated | Jul 21st, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194242966 | NPPES |
| California | Other | 190982AP | STATE LICENSE |
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