Addictionmds PC
Clinic/Center, Rehabilitation, Substance Use Disorder in Van Nuys, CA. Organization (NPI-2).
NPI number1306591185
StatusActive
Last updated in NPPESApr 29, 2026
Details
- NPI
- 1306591185
- Entity type
- Organization (NPI-2)
- Legal business name
- Addictionmds PC
- Organization subpart
- No
- Enumeration date
- Feb 19, 2022
- Certification date
- Apr 29, 2026
- Last updated
- Apr 29, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – | Yes |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 2083A0300X | Preventive Medicine, Addiction Medicine | – | – | |
| 2084P0802X | Psychiatry & Neurology, Addiction Psychiatry | – | – | |
| 207QA0401X | Family Medicine, Addiction Medicine | – | – | |
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – |
Practice location
14407 Hamlin St Ste AVan Nuys, CA 91401-6200
Phone 818-904-9008 · Fax 818-994-4491
Mailing address
Po Box 52Van Nuys, CA 91408-0052
Phone 818-904-9008
Authorized official
Dagmar Liepa
President
8189049008
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