DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: VIDA FOR AUTISM, LLC

MEDICARE: VIDA FOR AUTISM, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1252Y00000XEarly Intervention Provider Agency
2261QD1600XDevelopmental Disabilities Clinic/Center
3251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1568928349
Entity Type Code : Organization
Provider Name (Legal Business Name) : VIDA FOR AUTISM, LLC
Provider Business Mailing Address
First Line : 5250 LANKERSHIM BLVD STE 500
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91601-3187
Country : US
Telephone Number : 818-350-3839
Fax Number :
Provider Business Practice Location Address
First Line : 5250 LANKERSHIM BLVD STE 500
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91601-3187
Country : US
Telephone Number : 818-350-3839
Fax Number :
Authorized Official
Title or Position : OWNER
Name : EDWIN ALBERTO CRUZ
Credential : BCBA
Telephone Number : 323-388-6178
Provider Enumeration Date : 02/16/2019
Last Update Date : 02/05/2025

Similar Medicare Providers

1225995194 — LOCKLAB PROVIDER GROUP CA, P.C.
Practice Location Address:
5250 LANKERSHIM BLVD STE 500
NORTH HOLLYWOOD, CA
91601-3187
Practice Phone: 305-425-9125
Practice Fax:
1992996425 — ILITA BECKHAM LMFT
Practice Location Address:
5250 LANKERSHIM BLVD STE 500
NORTH HOLLYWOOD, CA
91601-3187
Practice Phone: 818-850-1404
Practice Fax:
1558546424 — MRS. MOINA EVE REGALADO LMFT
Practice Location Address:
5250 LANKERSHIM BLVD STE 500
NORTH HOLLYWOOD, CA
91601-3187
Practice Phone: 818-253-1140
Practice Fax:
1932587698 — EDWIN CRUZ
Practice Location Address:
5250 LANKERSHIM BLVD STE 500
NORTH HOLLYWOOD, CA
91601-3187
Practice Phone: 818-350-3839
Practice Fax:
1174163083 — JOSHUA S RAMIREZ
Practice Location Address:
5250 LANKERSHIM BLVD STE 500
NORTH HOLLYWOOD, CA
91601-3187
Practice Phone: 818-806-0267
Practice Fax:
1538782438 — VITALITY FIRST HOME HEALTH CARE
Practice Location Address:
5250 LANKERSHIM BLVD STE 540
NORTH HOLLYWOOD, CA
91601-3187
Practice Phone: 818-414-0818
Practice Fax:

Directions to “VIDA FOR AUTISM, LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.