MEDICARE: BLVD CENTERS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1093229593
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLVD CENTERS, INC.

Provider Business Mailing Address
First Line	:	PO BOX 512030
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90051-0030
Country	:	US
Telephone Number	:	561-515-3227
Fax Number	:	561-515-3235

Provider Business Practice Location Address
First Line	:	1776 N HIGHLAND AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90028-4404
Country	:	US
Telephone Number	:	561-515-3227
Fax Number	:	561-515-3235

Authorized Official
Title or Position	:	ACCOUNT COMPLIANCE MANAGER
Name	:	TASHA SHEFFIELD
Credential	:
Telephone Number	:	855-277-5363

Provider Enumeration Date	:	11/21/2017
Last Update Date	:	06/16/2018

Similar Medicare Providers

1003767815 — BEHAVIORAL DYNAMICS INC
Practice Location Address:

1776 N HIGHLAND AVE STE A
LOS ANGELES, CA
90028-4404

Practice Phone: 323-608-0401
Practice Fax:

1356768089 — BLVD CENTERS, INC.
Practice Location Address:

1776 N HIGHLAND AVE
LOS ANGELES, CA
90028-4404

Practice Phone: 424-281-6143
Practice Fax: 424-216-0574

1740723006 — HELPING HANDS REHABILITATION CLINIC
Practice Location Address:

1776 N HIGHLAND AVE
LOS ANGELES, CA
90028-4404

Practice Phone: 213-479-0900
Practice Fax:

1972351716 — RECOVERY DYNAMICS LLC
Practice Location Address:

1776 N HIGHLAND AVE
LOS ANGELES, CA
90028-4404

Practice Phone: 213-333-3869
Practice Fax:

1437228962 — LINDA DONOFRIO
Practice Location Address:

6000 SAN VICENTE BLVD
LOS ANGELES, CA
90036-4404

Practice Phone: 310-350-0606
Practice Fax:

1184773202 — MIRACLE MILE MEDICAL CENTER, LLC
Practice Location Address:

6000 SAN VICENTE BLVD
LOS ANGELES, CA
90036-4404

Practice Phone: 323-930-1040
Practice Fax: 323-937-0525

Directions to “BLVD CENTERS, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.