Healthcare Provider Details
I. General information
NPI: 1891235974
Provider Name (Legal Business Name): STAR VIEW BEHAVIORAL HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/08/2017
Last Update Date: 09/21/2022
Certification Date: 09/21/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4025 W 226TH ST
TORRANCE CA
90505-2340
US
IV. Provider business mailing address
4025 W 226TH ST
TORRANCE CA
90505-2340
US
V. Phone/Fax
- Phone: 310-373-4556
- Fax: 310-373-2826
- Phone: 310-373-4556
- Fax: 310-373-2826
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 283Q00000X |
| Taxonomy | Psychiatric Hospital |
| License Number | 2016029 |
| License Number State | CA |
VIII. Authorized Official
Name:
KENT
DUNLAP
Title or Position: PRESIDENT AND CHIEF EXECUTIVE OFFIC
Credential:
Phone: 310-221-6336