NPI Code Detail JSON Logo

1295079515 NPI number — WEST COAST COUNSELING SERVICES INC DBA WEST COAST COUNSELING CENTER

NPI Number: 1295079515
Health Care Provider/Practitioner: WEST COAST COUNSELING SERVICES INC DBA WEST COAST COUNSELING CENTER

Information about “1295079515” NPI (WEST COAST COUNSELING SERVICES INC DBA WEST COAST COUNSELING CENTER) exists in 1295079515 in HTML format HTML  |  1295079515 in plain Text format TXT  |  1295079515 in PDF (Portable Document Format) PDF  |  1295079515 in an XML format XML  formats.

NPI Number : 1295079515 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1295079515",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "WEST COAST COUNSELING SERVICES INC DBA WEST COAST COUNSELING CENTER",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "481 W WILLOW ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LONG BEACH",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90806-2843",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "562-424-6531",
    "MailingAddressFaxNumber": "562-424-5071",
    "FirstLinePracticeLocationAddress": "2300 W CALDWELL ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COMPTON",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90220-4116",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "562-424-6531",
    "PracticeLocationAddressFaxNumber": "562-424-5071",
    "EnumerationDate": "11/27/2012",
    "LastUpdateDate": "04/12/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CANNON",
    "AuthorizedOfficialFirstName": "LOU",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "562-424-6531",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251K00000X",
        "TaxonomyName": "Public Health or Welfare Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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