COMMUNITY WEST LLC (NPI# 1679060669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679060669 |
| Entity Type | Organization |
| Organization Name | COMMUNITY WEST LLC |
| Practice Address |
1990 S Bundy Dr Ste 320 Los Angeles CA 90025-5249 |
| Practice Telephone | 3109900988 |
| Mailing Telephone | 3109900988 |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2018-04-16 |
| Authorized Official Name | MARC SANDERS (CO-FOUNDER) |
| Authorized Official Telephone | 3104975995 |
| Authorized Official Credential | PHD, FIPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
1990 S BUNDY DR STE 320 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90025-5249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689830952 | Marc Craig Sanders | Psychologist | 1990 S Bundy Dr Ste 320, Los Angeles, CA 90025-5249 | 2008-08-05 |
| 1801424742 | Sacha Bollas Psyd, Inc. | Psychologist | 1990 S Bundy Dr Ste 320, Los Angeles, CA 90025-5249 | 2020-03-27 |
| 1225506900 | Sacha Miran Bollas | Psychologist | 1990 S Bundy Dr Ste 320, Los Angeles, CA 90025-5249 | 2018-11-11 |
| 1023366721 | Matthew Hepner Ryan | Psychologist | 1990 S Bundy Dr Ste 320, Los Angeles, CA 90025-5249 | 2012-08-28 |
| 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 |
| Find all providers in zip 90025 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346872728 | Wellnest Emotional Health and Wellness | Clinic/Center | 1701 E Cesar E Chavez Ave Ste 532, Los Angeles, CA 90033-2496 | 2020-02-04 |
| 1285916882 | Eggleston Youth Centers, Inc. | Clinic/Center | 3001 W Vernon Ave, Los Angeles, CA 90008-5293 | 2011-09-09 |
| 1770607095 | Children's Hospital Los Angeles | Clinic/Center | 711 N Avenue 53, Los Angeles, CA 90042-2413 | 2007-03-19 |
| 1639207434 | Parenting Institute Incorporated | Clinic/Center | 3761 Stocker St, Suite 211, Los Angeles, CA 90008-5111 | 2007-03-01 |
| 1194850842 | Tessie Cleveland Community Services Corporation | Clinic/Center | 8019 S. Compton Avenue, Los Angeles, CA 90001-3409 | 2007-02-22 |
| 1306908504 | Of One Mind LLC | Clinic/Center | 2001 South Barrington Ave, Suite 300, Los Angeles, CA 90025 | 2006-12-14 |
| 1275025140 | The Virtuous Woman, Inc | Clinic/Center | 2306 W 73rd St, Los Angeles, CA 90043-5342 | 2018-06-05 |
| 1588151484 | Key Mentoring | Clinic/Center | 11727 Barrington Ct Ste 209, Los Angeles, CA 90049-6902 | 2018-04-16 |
| 1518484799 | Dr. Lauren Stutman, Psychologist, Apc | Clinic/Center | 10323 Santa Monica Blvd Ste 111, Los Angeles, CA 90025-5056 | 2017-08-28 |
| 1053776104 | Special Service for Groups | Clinic/Center | 3727 W 6th St, Suite 402, Los Angeles, CA 90020-5112 | 2015-12-16 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90025 |
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| 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.