Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
HOLLYWOOD RECOVERY TREATMENT CENTER
Active
Organization
HOLLYWOOD RECOVERY TREATMENT CENTER
Active
Parent organization
HOLLYWOOD RECOVERY TREATMENT CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOLLYWOOD RECOVERY TREATMENT CENTER
Authorized official
MARTIN AGUILAR (CLINICAL DIRECTOR)
(818) 980-0849
Entity
Organization
Contact information
Practice address
12500 RIVERSIDE DR STE 211, STUDIO CITY, CA 91607-3436
(818) 980-0849
(818) 980-0859
Mailing address
12500 RIVERSIDE DR STE 211, STUDIO CITY, CA 91607-3436
(818) 980-0849
(818) 980-0859
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
6895
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6895
PROVIDER NUMBER
CA
Enumeration date
04/12/2007
Last updated
07/31/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up