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Hollywood Recovery Treatment Center

Genetic Counselor, MS in Studio City, CA. Organization (NPI-2).

NPI number1972935005
StatusActive
Last updated in NPPESJul 31, 2013

Details

NPI
1972935005
Entity type
Organization (NPI-2)
Legal business name
Hollywood Recovery Treatment Center
Organization subpart
No
Enumeration date
Jul 31, 2013
Last updated
Jul 31, 2013

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
170300000X Genetic Counselor, MS––Yes

Practice location

12500 Riverside Dr Ste 211
Studio City, CA 91607-3436

Phone 818-980-0849 · Fax 818-980-0859

Mailing address

12500 Riverside Dr Ste 211
Studio City, CA 91607-3436

Phone 818-980-0849 · Fax 818-980-0859

Authorized official

Martin Aguilar
Executive Director
8189800849

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