Optimist Palmdale
LBN: Optimist Boys' Home And Ranch, Inc.
Optimist Palmdale is an health care organization with primary practice located at 520 W Palmdale Blvd Ste Def&G , Palmdale CA 93551-4229. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty.
Optimist Boys' Home And Ranch, Inc. can be contacted via phone (323) 443-3175, or through Sosna, Todd via phone (323) 443-3101.
Contact Information
Primary practice address
520 W Palmdale Blvd Ste Def&G
Palmdale CA 93551-4229
Phone: (323) 443-3175
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Agencies / Community/Behavioral Health | 251S00000X |
Profile Details
| NPI number | 1871622498 |
|---|---|
| LBN Legal business name | Optimist Boys' Home And Ranch, Inc. |
| DBA Doing business as | Optimist Palmdale |
| Authorized official | Sosna, Todd PH.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 2nd, 2007 |
| Last updated | May 22nd, 2023 - 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 | 1871622498 | NPPES |
| California | Other | 00781 | MEDI-CAL PROVIDER |
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