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SHAWN LAURITZ MILLER SR. OWNER
NPI 1992253009
Substance Abuse Rehabilitation Facility in Simi Valley, CA

Active since September 18, 2016
3069 CISCO CT, SIMI VALLEY, CA 93063(805) 624-7700 Get Directions Write a Review

NPPES record last updated: September 18, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shawn Lauritz Miller Sr. Owner NPPES

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

SHAWN LAURITZ MILLER SR. OWNER (NPI 1992253009) is an individual substance abuse rehabilitation facility provider in Simi Valley, California, licensed in California (560051AP) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1992253009
Entity TypeIndividualMale
Primary Taxonomy324500000X
Provider Legal NameSHAWN LAURITZ MILLER SR.Credential: OWNER
Location Address3069 CISCO CTSimi Valley, CA 93063-1809
Mailing Address3069 Cisco CtSimi Valley, CA 93063-1809 · (805) 624-7700
Phone(805) 624-7700
Sole ProprietorYes
Enumeration DateSeptember 18, 2016
✔ NPI 1992253009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in CA · 560051AP
Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

3069 CISCO CT, Simi Valley, CA 93063
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Other Providers at the Same Location NPPES 2

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

SET FREE DRUG & ALCOHOL TREATMENT CENTERS OF AMERICA
Substance Abuse Rehabilitation Facility
3069 CISCO CT
SIMI VALLEY, CA 93063
Ventura County (805) 584-9605
SIMI VALLEY RECOVERY, LLC
Substance Abuse Rehabilitation Facility
3069 CISCO CT
SIMI VALLEY, CA 93063
Ventura County (714) 655-0948

Frequently Asked Questions

What is Shawn Miller's NPI number?

The NPI number assigned to this healthcare provider is 1992253009, enumerated as an "individual" on September 18, 2016.

Where is the provider located?

The provider is located at 3069 CISCO CT SIMI VALLEY, CA 93063 and the phone number is (805) 624-7700.

What is the provider's specialty?

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.