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INDEPENDENCE COMMUNITY TREATMENT CLINIC
NPI 1508039728
Clinic/Center - Community Health in Lancaster, CA

Active since April 09, 2008
209 W AVENUE J, ROOMS E,G, H, FRONT OFFICE, LANCASTER, CA 93534(818) 776-1755(818) 776-1657 Get Directions Write a Review

NPPES record last updated: July 1, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Independence Community Treatment Clinic NPPES

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

INDEPENDENCE COMMUNITY TREATMENT CLINIC (NPI 1508039728) is a healthcare organization registered as a community health in Lancaster, California and active in the NPI registry since April 2008. The organization lists Alex Branzburg, Program Director, as its authorized official.

NPPES Registry Identity

NPI1508039728
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameINDEPENDENCE COMMUNITY TREATMENT CLINIC
Location Address209 W AVENUE J, ROOMS E,G, H, FRONT OFFICELancaster, CA 93534-3656
Mailing Address19231 Victory Blvd, Suite 554Reseda, CA 91335-6308 · (818) 776-1755 · Fax (818) 776-1657
Phone(818) 776-1755
Fax(818) 776-1657
Organization SubpartNo
Authorized OfficialAlex BranzburgProgram Director · (818) 776-1755
Enumeration DateApril 9, 2008
Last NPPES UpdateJuly 1, 2010
✔ NPI 1508039728 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
209 W AVENUE J, Lancaster, CA 93534
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Other Identifiers 2

Medicaid196856000CA
MedicaidCMM70956FCA

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 1508039728. It was assigned to this organization in the NPPES registry on April 9, 2008.

Where is Independence Community Treatment Clinic located?

Independence Community Treatment Clinic is located at 209 W Avenue J Rooms E,g, H, Front Office, Lancaster, CA 93534. 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 July 1, 2010. 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.