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1790667848 NPI number — SUMMIT ESTATE RECOVERY CENTERS LLC

NPI Number: 1790667848
Health Care Provider/Practitioner: SUMMIT ESTATE RECOVERY CENTERS LLC

Information about “1790667848” NPI (SUMMIT ESTATE RECOVERY CENTERS LLC) exists in 1790667848 in HTML format HTML  |  1790667848 in plain Text format TXT  |  1790667848 in PDF (Portable Document Format) PDF  |  1790667848 in an XML format XML  formats.

NPI Number : 1790667848 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1790667848",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "SUMMIT ESTATE RECOVERY CENTERS LLC",
    "ParentOrgTIN": null,
    "OrgName": "SUMMIT ESTATE RECOVERY CENTERS LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7280 BLUE HILL DR STE 7",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN JOSE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95129-3624",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "800-701-6997",
    "MailingAddressFaxNumber": "323-576-5345",
    "FirstLinePracticeLocationAddress": "1001 SNEATH LN STE 204",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN BRUNO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94066-2349",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "800-701-6997",
    "PracticeLocationAddressFaxNumber": "323-576-5345",
    "EnumerationDate": "07/21/2025",
    "LastUpdateDate": "07/21/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HERNANDEZ",
    "AuthorizedOfficialFirstName": "ELIZABETH",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "BILLER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "818-983-9466",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "324500000X",
        "TaxonomyName": "Substance Abuse Rehabilitation Facility",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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