INDEPENDENCE COMMUNITY TREATMENT CLINIC
NPI 1134366115
Clinic/Center - Community Health in Littlerock, CA

Q: What is Independence Community Treatment Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Active since January 14, 2009

10833 E AVENUE R, ROOM 118, 119, 217, LITTLEROCK, CA 93543(818) 776-1755 Get Directions Write a Review

NPPES record last updated: December 18, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Independence Community Treatment Clinic NPPES

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

INDEPENDENCE COMMUNITY TREATMENT CLINIC (NPI 1134366115) is a healthcare organization registered as a community health in Littlerock, California and active in the NPI registry since January 2009. The organization lists Alex Branzburg, Program Director, as its authorized official.

NPPES Registry Identity

NPI1134366115

Entity TypeOrganization

Primary Taxonomy261QC1500X

Legal Business NameINDEPENDENCE COMMUNITY TREATMENT CLINIC

Location Address10833 E AVENUE R, ROOM 118, 119, 217Littlerock, CA 93543-4106

Mailing Address19231 Victory Blvd, Suite 554Reseda, CA 91335-6308

Phone(818) 776-1755

Organization SubpartNo

Authorized OfficialAlex BranzburgProgram Director · (818) 776-1755

Enumeration DateJanuary 14, 2009

Last NPPES UpdateDecember 18, 2009

✔ NPI 1134366115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities

Taxonomy Code261QC1500X

License✔ Licensed in CA · 960001358

10833 E AVENUE R, Littlerock, CA 93543

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Other Identifiers 2

Medicaid196856000CA

MedicaidCMM70956FCA

Other Providers at the Same Location NPPES

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

MISS MILDRED VERGARA AMAYUN PPSC

Social Worker (School)

10833 E AVENUE R
LITTLEROCK, CA 93543

Los Angeles County (661) 944-5209

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 Independence Community Treatment Clinic's NPI number?

The NPI number for Independence Community Treatment Clinic is 1134366115. It was assigned to this organization in the NPPES registry on January 14, 2009.

Where is Independence Community Treatment Clinic located?

Independence Community Treatment Clinic is located at 10833 E Avenue R Room 118, 119, 217, Littlerock, CA 93543. The listed phone number is (818) 776-1755.

What is Independence Community Treatment Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

When was this NPI record last updated?

The NPPES record for Independence Community Treatment Clinic was last updated on December 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.