WEST HOLLYWOOD ATC
NPI 1417415639
Substance Abuse Rehabilitation Facility in West Hollywood, CA
About West Hollywood Atc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WEST HOLLYWOOD ATC (NPI 1417415639) is a healthcare organization registered as a substance abuse rehabilitation facility in West Hollywood, California and active in the NPI registry since March 2019. The organization holds a CLIA Waiver certificate valid through July 2, 2027, maintains a secondary practice location in West Hollywood, and lists Brandan Freeman, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D2168597
West Hollywood Atc LLC · West Hollywood, CAOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WEST HOLLYWOOD, CA 90069
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 West Hollywood Atc's NPI number?
The NPI number for West Hollywood Atc is 1417415639. It was assigned to this organization in the NPPES registry on March 6, 2019.
Where is West Hollywood Atc located?
West Hollywood Atc is located at 9026 Harratt St, West Hollywood, CA 90069. The listed phone number is (855) 740-1181.
What is West Hollywood Atc's specialty?
The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
Does West Hollywood Atc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2168597) is associated with this NPI, valid through July 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for West Hollywood Atc was last updated on December 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# West Hollywood Atc · NPI 1417415639
Substance Abuse Rehabilitation Facility organization in West Hollywood, California. Organization record, active in the CMS NPPES registry since March 6, 2019.
## Identity
- **NPI:** 1417415639 (Entity type: Organization)
- **Enumerated:** March 6, 2019
- **Primary specialty:** Substance Abuse Rehabilitation Facility · taxonomy 324500000X
- **Organization subpart:** No
- **Authorized official:** Brandan Freeman, CEO
## Practice location
- **Address:** 9026 HARRATT ST, West Hollywood, CA 90069-3804
- **Phone:** (855) 740-1181
## Record status
- **NPPES last updated:** December 30, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1417415639) · Data from the CMS NPPES public registry.