HOLLYWOOD MEDICAL AND MENTAL HEALTH SERIVCES - NPI 1881764033

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.

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About Hollywood Medical And Mental Health Serivces NPPES

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

HOLLYWOOD MEDICAL AND MENTAL HEALTH SERIVCES (NPI 1881764033) is a healthcare organization registered as a rehabilitation, substance use disorder in Los Angeles, California and active in the NPI registry since November 2006. The organization lists Pramesh P Sharma, Administarive Director, as its authorized official.

NPPES Registry Identity

NPI1881764033

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NameAMERICAN HEALTH SERVICES LLC

Location Address5015 W PICO BLVDLos Angeles, CA 90019-4127

Mailing AddressPo Box 801809Valencia, CA 91380-1809 · (661) 254-6630 · Fax (661) 254-6644

Phone(323) 653-1677

Fax(323) 653-1691

Organization SubpartNo

Authorized OfficialPramesh P SharmaAdministarive Director · (661) 254-6630

Enumeration DateNovember 8, 2006

Last NPPES UpdateApril 1, 20202 updates tracked since enumeration

NPPES CertifiedApril 1, 2020

✔ NPI 1881764033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities

Taxonomy Code261QR0405X

License✔ Licensed in CA · 19 140

5015 W PICO BLVD, Los Angeles, CA 90019

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Other Names 1

Doing Business AsHollywood Medical And Mental Health Serivces

Other Identifiers 3

MedicaidHDC70052FCA

Medicaid19-140CA

Medicaid6734CA

Other Providers at the Same Location NPPES 10

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

MS. ELAINE BAILEY PA-C

Physician Assistant