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NPI Code Detail

MEDICARE: STAR VIEW BEHAVIORAL HEALTH, INC.

MEDICARE: STAR VIEW BEHAVIORAL HEALTH, 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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1336653989
Entity Type Code : Organization
Provider Name (Legal Business Name) : STAR VIEW BEHAVIORAL HEALTH, INC.
Provider Business Mailing Address
First Line : 1501 HUGHES WAY STE 150
Second Line :
City : LONG BEACH
State : CA
Zip : 90810-1878
Country : US
Telephone Number : 310-221-6336
Fax Number :
Provider Business Practice Location Address
First Line : 4314 W SLAUSON AVE STE 2-3
Second Line :
City : LOS ANGELES
State : CA
Zip : 90043-2808
Country : US
Telephone Number : 323-596-2833
Fax Number :
Authorized Official
Title or Position : PRESIDENT AND CHIEF EXECUTIVE OFFIC
Name : KENT DUNLAP
Credential :
Telephone Number : 310-221-6336
Provider Enumeration Date : 11/18/2017
Last Update Date : 11/18/2017

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Directions to “STAR VIEW BEHAVIORAL HEALTH, INC. ” Practice Location

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