Healthcare Provider Details

I. General information

NPI: 1427136621
Provider Name (Legal Business Name): STAR VIEW BEHAVIORAL HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2006
Last Update Date: 12/23/2024
Certification Date: 12/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 E. PACIFIC COAST HIGHWAY SUITE 100
LONG BEACH CA
90804-3233
US

IV. Provider business mailing address

4500 E. PACIFIC COAST HIGHWAY SUITE 100
LONG BEACH CA
90804-3233
US

V. Phone/Fax

Practice location:
  • Phone: 562-344-1140
  • Fax: 562-685-0735
Mailing address:
  • Phone: 562-344-1140
  • Fax: 562-685-0735

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name: KENT DUNLAP
Title or Position: PRESIDENT AND CHIEF EXECUTIVE OFFIC
Credential:
Phone: 310-221-6336