| Novo Detox | |
|
11346 Thurston Pl Los Angeles CA 90049-2429 | |
| (602) 430-7543 | |
| Not Available |
| Full Name | Novo Detox |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 11346 Thurston Pl, Los Angeles, California |
| Authorized Official Name and Position | Matthew Ziering (CFO) |
| Authorized Official Contact | 3106638890 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Novo Detox 10533 Washington Blvd Culver City CA 90232-3311 Ph: (310) 663-8890 | Novo Detox 11346 Thurston Pl Los Angeles CA 90049-2429 Ph: (602) 430-7543 |
| NPI Number | 1194242966 |
|---|---|
| Provider Enumeration Date | 08/23/2017 |
| Last Update Date | 07/21/2022 |
| Certification Date | 07/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194242966 | NPI | - | NPPES |
| 190982AP | Other | CA | STATE LICENSE |
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