Provider Demographics
NPI:1578919585
Name:HK MANAGMENT COMPANY LLC
Entity Type:Organization
Organization Name:HK MANAGMENT COMPANY LLC
Other - Org Name:OVERLAND IOP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIERING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-663-8890
Mailing Address - Street 1:10533 WASHINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90232-3311
Mailing Address - Country:US
Mailing Address - Phone:310-663-8890
Mailing Address - Fax:
Practice Address - Street 1:3415 OVERLAND AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90034-5405
Practice Address - Country:US
Practice Address - Phone:310-901-6290
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-09
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA190950AP101YA0400X, 261QR0405X
CALCS 18696251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1255446688OtherMD