Pride Health Services Vermont

LBN: Pride Health Services
Pride Health Services Vermont is an health care organization with primary practice located at 8904 S Vermont Ave , Los Angeles CA 90044-4834. 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. Pride Health Services can be contacted via phone (323) 753-5950, or through Nwogene, Godfrey via phone (310) 677-9019.

Contact Information

Primary practice address
8904 S Vermont Ave Los Angeles CA 90044-4834
Fax: (323) 753-6020
Website:
Authorized official contact:
Name: Nwogene, Godfrey

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 190212AN California

Profile Details

NPI number 1871711804
LBN Legal business name Pride Health Services
DBA Doing business as Pride Health Services Vermont
Authorized official Nwogene, Godfrey
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2007
Last updated May 7th, 2009 - about 15 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 1871711804 NPPES
California Other 701231 DRUG MEDI-CAL

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