SERENE RECOVERY NPI 1336927987

NPI Information

NPI: 1336927987
Provider Name: SERENE RECOVERY
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
2628 VINEYARD AVE
LOS ANGELES, CA
ZIP 90016
Phone: (918) 964-3632
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SERENE RECOVERY is a substance abuse rehabilitation facility in Los Angeles, CA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. SERENE RECOVERY NPI is 1336927987. The provider is registered as an organization entity type.

The provider's business location address is:

2628 VINEYARD AVE
LOS ANGELES, CA
ZIP 90016-928
Phone: (918) 964-3632

The provider's authorized official is Khaled Al-alawneh .
The authorized official title is Ceo and has the following contact phone number (918) 964-3632.

The enumeration date for this NPI number is 9/15/2023 and was last updated on 9/15/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			No
2	324500000X	Substance Abuse Rehabilitation Facility				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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