Interconnection Center Inc. in Los Angeles - Substance Abuse Rehabilitation Facility
Interconnection Center Inc. - NPI 1902024276
Interconnection Center Inc. is a Substance Abuse Rehabilitation Facility in Los Angeles, California. Interconnection Center Inc. practices all healthcare services and medical treatments related to Substance Abuse Rehabilitation Facility. The NPI Number for Interconnection Center Inc. is 1902024276. The last update date is 2020-08-22.
Interconnection Center Inc.'s current location address is 3833 S Grand Ave, Los Angeles, California. You can contact this provider via phone number 2137474626. The mailing address for Interconnection Center Inc. is 3833 S Grand Ave, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Interconnection Center Inc. |
|---|---|
| Address | 3833 S Grand Ave, Los Angeles, California |
| Phone Number | 2137474626 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXCUTIVE D |
|---|---|
| Authorized Official Name | Butler Rudy |
| Telephone Number | 2137474626 |
NPI Number Detail
| NPI Number | 1902024276 |
|---|---|
| Provider Enumeration Date | 2007-04-23 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3833 S Grand Ave |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900371311 |
| Phone Number | 2137474626 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Rehabilitation Facility |
|---|---|
| Taxonomy | 324500000X |
| Licence No | 190383AN |
|
Definition: 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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6893 | CA | SUBSTANCE ABUSE REHAB |
Post Comment/ Review Below
What is the unique provider identifier assigned to Interconnection Center Inc.?
The Interconnection Center Inc. has been issued the NPI (National Provider Identifier) 1902024276 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Interconnection Center Inc. is physically located?
The Interconnection Center Inc. is situated at the following address: 3833 S Grand Ave, Los Angeles, CA 900371311.
What is the area of specialization for Interconnection Center Inc., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Interconnection Center Inc. is Substance Abuse Rehabilitation Facility, and the corresponding taxonomy code that categorizes this area of expertise is 324500000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1902024276 to Interconnection Center Inc.?
The Interconnection Center Inc. received its 1902024276 assignment from the Centers for Medicare & Medicaid Services on 2007-04-23.
As of what date were the Interconnection Center Inc.'s details last updated?
The information pertaining to the Interconnection Center Inc., including its address, specialty, and other details, was most recently updated on 2020-08-22.
NPI Number: 1649273715
Address: 5000 Ambassador Caffery Pkwy, Lafayette, LA
NPI Number: 1235132838
Address: 6080 N La Cholla Blvd # 200, Tucson, AZ