Provider Demographics
NPI:1578215083
Name:URP CALIFORNIA LLC
Entity Type:Organization
Organization Name:URP CALIFORNIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF UR
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-528-2461
Mailing Address - Street 1:9050 PINES BLVD STE 460
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-6459
Mailing Address - Country:US
Mailing Address - Phone:954-362-4389
Mailing Address - Fax:954-799-0234
Practice Address - Street 1:25402 HILLARY LN
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-5215
Practice Address - Country:US
Practice Address - Phone:954-362-4389
Practice Address - Fax:954-799-0234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-25
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility