DIVINA LIZA BAHAM
NPI 1104345990
Counselor - Addiction (Substance Use Disorder) in Santa Monica, CA

Active since September 13, 2017
909 PICO BLVD, SANTA MONICA, CA 90405(310) 314-6200(310) 450-2024 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Sep 13, 2017 (2 updates tracked since 2017).

About Divina Liza Baham NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIVINA LIZA BAHAM (NPI 1104345990) is an individual addiction (substance use disorder) provider in Santa Monica, California and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1104345990
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameDIVINA LIZA BAHAM
Location Address909 PICO BLVDSanta Monica, CA 90405-1326
Mailing Address909 Pico BlvdSanta Monica, CA 90405-1326 · (310) 314-6200 · Fax (310) 450-2024
Fax(310) 450-2024
Sole ProprietorYes
Enumeration DateSeptember 13, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1104345990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
909 PICO BLVD, Santa Monica, CA 90405

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
909 PICO BLVD
SANTA MONICA, CA 90405
Counselor (Addiction (Substance Use Disorder))
909 PICO BLVD
SANTA MONICA, CA 90405
Counselor (Addiction (Substance Use Disorder))
909 PICO BLVD
SANTA MONICA, CA 90405
Counselor (Addiction (Substance Use Disorder))
909 PICO BLVD
SANTA MONICA, CA 90405
Substance Abuse Rehabilitation Facility
909 PICO BLVD
SANTA MONICA, CA 90405
Physician Assistant (Medical)
909 PICO BLVD
SANTA MONICA, CA 90405
Counselor (Addiction (Substance Use Disorder))
909 PICO BLVD
SANTA MONICA, CA 90405
Marriage & Family Therapist
909 PICO BLVD
SANTA MONICA, CA 90405

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Divina Baham's NPI number?

The NPI number for Divina Baham is 1104345990. It was assigned to this individual provider in the NPPES registry on September 13, 2017.

Where is Divina Baham located?

Divina Baham practices at 909 Pico Blvd, Santa Monica, CA 90405. The listed phone number is (310) 314-6200.

What is Divina Baham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Divina Baham was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.