Peninsula Health Center Llc

LBN: Peninsula Health Center Llc
Peninsula Health Center Llc is an health care organization with primary practice located at 655 Deep Valley Dr Ste 325-A , Rolling Hills Estates CA 90274-3615. The organization recently has 13 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Clinical, Dietary & Nutritional Service Providers / Nutrition, Education, Other Service Providers / Case Manager/Care Coordinator, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Pain Medicine, Agencies / Case Management, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Pain, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is the primary health care specialty. Peninsula Health Center Llc can be contacted via phone (310) 265-0011, or through Hemmat, Matin via phone (310) 265-0011.

Contact Information

Primary practice address
655 Deep Valley Dr Ste 325-A Rolling Hills Estates CA 90274-3615
Phone: (310) 265-0011
Fax: (310) 265-0077
Website:
Map and Directions
Authorized official contact:
Name: Hemmat, Matin Doctor of Medicine (MD)
Phone: (310) 265-0011

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Pain 261QP3300X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1538810015
LBN Legal business name Peninsula Health Center Llc
DBA Doing business as
Authorized official Hemmat, Matin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2022
Last updated Jan 26th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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