PROFOUND TREATMENT, LLC


Address: 1990 Westwood Blvd Ste 305, Los Angeles, CA 90025-6596
Phone: 3106002395

PROFOUND TREATMENT, LLC (NPI# 1245878917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245878917
Entity Type Organization
Organization Name PROFOUND TREATMENT, LLC
Other Organization Name WEST HEALTH
Practice Address 1990 Westwood Blvd Ste 305
Los Angeles
CA 90025-6596
Mailing Address 1990 Westwood Blvd Ste 350
Los Angeles
CA 90025-4674
Practice Telephone 3106002395
Mailing Telephone 3106002395
Enumeration Date 2019-12-12
Last Update Date 2020-10-13
Authorized Official Name TREVIS MCLAREN SMITH (OWNER)
Authorized Official Telephone 3106002395
Authorized Official Credential CATC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
West Health Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
11650 Bellagio Rd, Los Angeles, CA 900492113 8053021504

Office Location

Street Address 1990 WESTWOOD BLVD STE 305
City LOS ANGELES
State CA
Zip Code 90025-6596

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558962324 Marjan-marcia Khalitchi-alavi Psychologist 12400 Wilshire Blvd #230, Los Angeles, CA 90025 2020-11-06
1245852599 Maureen Bridget Mcglynn Marriage & Family Therapist 1531 Purdue Avenue, Los Angeles, CA 90025 2020-05-09
1578118857 Gregory J Bogie Physical Therapist 10351 Santa Monica Blvd. Suite 101, Los Angeles, CA 90025 2019-08-05
1518527712 David Allen Goldstein Marriage & Family Therapist 12301 Wilshire Blvd., Suite 515, Los Angeles, CA 90025 2019-06-19
1386104875 Kevin Meir Youssefzadeh Student in an Organized Health Care Education/Training Program 304 Dowlen Dr, Los Angeles, CA 90025 2019-03-21
1336609189 Psychotherapy Center for Healing and Personal Growth Psychologist 2001 S. Barington Ave Suite 222, Los Angeles, CA 90025 2019-03-20
1477028819 Flora Ma Nurse Practitioner 1726 Purdue Ave, Apt 2, Los Angeles, CA 90025 2018-10-12
1457834285 Yeesul Yoo Chiropractor 2001 S. Barrington Ave Suite 101, Los Angeles, CA 90025 2018-09-07
1902387160 Angelica Carmen Regalado Behavior Technician 7400 Pacific Blvd. Suite A & B, Walnut Park, CA 90025 2018-08-26
1033603378 Craig Allen Gillett Marriage & Family Therapist 11847 Wilshire Blvd., #300, Los Angeles, CA 90025 2018-06-20
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Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy 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.
Notes: [7/1/2003: modified title, modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467051672 Spearhead Health Centers, LLC. Substance Abuse Rehabilitation Facility 11704 Wilshire Blvd Ste 226, Los Angeles, CA 90025-1504 2020-10-19
1396354577 First Step Forward, Inc Substance Abuse Rehabilitation Facility 7523 S Western Ave, Los Angeles, CA 90047-2430 2020-07-23
1619598208 Conquer Recovery Centers, Inc. Substance Abuse Rehabilitation Facility 1324 Keniston Ave, Los Angeles, CA 90019-1713 2020-05-05
1417595547 Forward Recovery Solutions, LLC Substance Abuse Rehabilitation Facility 1428 Roxbury Dr, Los Angeles, CA 90035-2815 2019-12-19
1245883594 Vivian C Aranda Substance Abuse Rehabilitation Facility 4617 Zane St, Los Angeles, CA 90032-2039 2019-07-16
1770141764 310 Recovery Substance Abuse Rehabilitation Facility 1741 Hauser Blvd, Los Angeles, CA 90019-5111 2019-06-04
1689132284 Mama and Papa Bear's Innovations, Inc Substance Abuse Rehabilitation Facility 5324 Fountain Ave, Los Angeles, CA 90029-1005 2019-03-04
1053884775 Melrose Recovery, LLC. Substance Abuse Rehabilitation Facility 1253 N Commonwealth Ave, Los Angeles, CA 90029 2019-01-04
1669941811 Cnv Detox Inc. Substance Abuse Rehabilitation Facility 5919 W 74th St, Los Angeles, CA 90045-1601 2018-11-16
1417432071 Pacific Recovery Solutions Substance Abuse Rehabilitation Facility 3235 Hillock Dr, Los Angeles, CA 90068-1427 2018-09-30
Find all providers in LOS ANGELES

Competitor

Search similar providers

City LOS ANGELES
Zip Code 90025

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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