LAS VIRGENES BEHAVIORAL HEALTH AND MEDICAL CLINIC, INC – NPI #1720283096
Psychiatry & Neurology

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

LAS VIRGENES BEHAVIORAL HEALTH AND MEDICAL CLINIC, INC is a psychiatry & neurologist located in AGOURA HILLS, CA. NPPES has assigned the NPI number 1720283096 to LAS VIRGENES BEHAVIORAL HEALTH AND MEDICAL CLINIC, INC on June 18, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2084A0401X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Addiction Medicine

The NPI profile was previously updated about 8 years ago on Mar 27, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LAS VIRGENES BEHAVIORAL HEALTH AND MEDICAL CLINIC, INC below.

NPI Profile for
LAS VIRGENES BEHAVIORAL HEALTH AND MEDICAL CLINIC, INC

NPI Number
1720283096
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LAS VIRGENES BEHAVIORAL HEALTH AND MEDICAL CLINIC, INC
Primary location
30101 AGOURA CT STE 100
AGOURA HILLS, CA 91301-4301
Phone: (818) 879-9018 Fax: (818) 879-9013
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
IRINA CHMELEVA
BILLER
Phone: (818) 879-9018
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084A0401X
- Psychiatry & Neurology / Addiction Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.