=====================================================
General NPI Number Information
=====================================================
NPI Number | 1356643993
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HEALTHRIGHT 360
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/02/2010
-----------------------------------------------------
Last Update Date | 04/07/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1000 N ALAMEDA ST SUITE 390
-----------------------------------------------------
City | LOS ANGELES
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90012-1804
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 213-542-3838
-----------------------------------------------------
Fax | 213-225-0085
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1563 MISSION STREET 2ND FLOOR MAIL ROOM
-----------------------------------------------------
City | SAN FRANCISCO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94103-2543
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIR. LICENSING & CERT
-----------------------------------------------------
Name | MR. ATHILA LAMBINO
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 415-912-0605
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------