Provider Demographics
NPI:1497638597
Name:LITTLE HOUSE OUTPATIENT
Entity type:Organization
Organization Name:LITTLE HOUSE OUTPATIENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:HELENA
Authorized Official - Last Name:SALMERON
Authorized Official - Suffix:
Authorized Official - Credentials:CADC
Authorized Official - Phone:562-925-2777
Mailing Address - Street 1:9718 HARVARD ST
Mailing Address - Street 2:
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-3635
Mailing Address - Country:US
Mailing Address - Phone:562-925-2777
Mailing Address - Fax:
Practice Address - Street 1:9928 FLOWER ST STE 101
Practice Address - Street 2:
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-5472
Practice Address - Country:US
Practice Address - Phone:562-533-4532
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LITTLE HOUSE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder