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AEGIS TREATMENT CENTERS, LLC
NPI 1679919419
Clinic/Center - Methadone in Inglewood, CA

Active since May 20, 2013
614 W MANCHESTER BLVD, #104, INGLEWOOD, CA 90301(310) 412-0879 Get Directions Write a Review

NPPES record last updated: March 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Aegis Treatment Centers, Llc NPPES

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

AEGIS TREATMENT CENTERS, LLC (NPI 1679919419) is a healthcare organization registered as a methadone in Inglewood, California and active in the NPI registry since May 2013. The organization lists Denise Winant, Credentialing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1679919419
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameAEGIS TREATMENT CENTERS, LLC
Location Address614 W MANCHESTER BLVD, #104Inglewood, CA 90301-1656
Mailing Address7246 Remmet AveCanoga Park, CA 91303-1531
Phone(310) 412-0879
Organization SubpartNo
Authorized OfficialDenise WinantCredentialing Supervisor · (732) 570-0268
Enumeration DateMay 20, 2013
Last NPPES UpdateMarch 13, 2023
NPPES CertifiedMarch 13, 2023
✔ NPI 1679919419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
614 W MANCHESTER BLVD, Inglewood, CA 90301
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Other Identifiers 1

MedicaidHDC70073FCA

Other Providers at the Same Location NPPES 17

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

GEORGE ABRAHAM
Counselor (Addiction (Substance Use Disorder))
614 W MANCHESTER BLVD
INGLEWOOD, CA 90301
Los Angeles County (909) 645-1536
MARILYN GALIT CAZUN
Counselor (Addiction (Substance Use Disorder))
614 W MANCHESTER BLVD
INGLEWOOD, CA 90301
Los Angeles County (310) 412-0879
MS. JACKIE WINSTON
Counselor (Addiction (Substance Use Disorder))
614 W MANCHESTER BLVD, SUITE 104
INGLEWOOD, CA 90301
Los Angeles County (310) 412-0879
ANNA JAZMINE RAMIREZ MA
Physician Assistant (Medical)
614 W MANCHESTER BLVD
INGLEWOOD, CA 90301
Los Angeles County (310) 412-0261
CHAUNTRECE JENAE WASHINGTON
Counselor (Addiction (Substance Use Disorder))
614 W MANCHESTER BLVD
INGLEWOOD, CA 90301
Los Angeles County (310) 412-0879
MS. GLYNIS MARIE PHILLIPS
Counselor (Addiction (Substance Use Disorder))
614 W MANCHESTER BLVD, #104
INGLEWOOD, CA 90301
Los Angeles County (310) 412-0879
VERONICA FELIX LVN
Licensed Vocational Nurse
614 W MANCHESTER BLVD
INGLEWOOD, CA 90301
Los Angeles County (310) 412-0879
NATAVIA WILLIAMS LVN
Licensed Vocational Nurse
614 W MANCHESTER BLVD
INGLEWOOD, CA 90301
Los Angeles County (310) 412-0879

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 Aegis Treatment Centers, LLC's NPI number?

The NPI number for Aegis Treatment Centers, LLC is 1679919419. It was assigned to this organization in the NPPES registry on May 20, 2013.

Where is Aegis Treatment Centers, LLC located?

Aegis Treatment Centers, LLC is located at 614 W Manchester Blvd #104, Inglewood, CA 90301. The listed phone number is (310) 412-0879.

What is Aegis Treatment Centers, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

When was this NPI record last updated?

The NPPES record for Aegis Treatment Centers, LLC was last updated on March 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.