| Tarzana Treatment Centers, Inc. | |
|
907 W Lancaster Blvd Lancaster CA 93534-2305 | |
| (661) 723-4829 | |
| Not Available |
| Full Name | Tarzana Treatment Centers, Inc. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 907 W Lancaster Blvd, Lancaster, California |
| Authorized Official Name and Position | Jim Sorg (DIRECTOR OF IT) |
| Authorized Official Contact | 8186543911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tarzana Treatment Centers, Inc. 18646 Oxnard St Tarzana CA 91356 Ph: (818) 996-1051 | Tarzana Treatment Centers, Inc. 907 W Lancaster Blvd Lancaster CA 93534-2305 Ph: (661) 723-4829 |
| NPI Number | 1639390339 |
|---|---|
| Provider Enumeration Date | 05/01/2007 |
| Last Update Date | 12/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639390339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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