| Tarzana Treatment Centers, Inc. | |
|
8330 Reseda Blvd Northridge CA 91324-4619 | |
| (818) 654-3911 | |
| (818) 996-3051 |
| Full Name | Tarzana Treatment Centers, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 8330 Reseda Blvd, Northridge, California |
| Authorized Official Name and Position | Jim Sorg (DIRECTOR OF INFORMATION TECHNOLOGY) |
| Authorized Official Contact | 8186543911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tarzana Treatment Centers, Inc. 18646 Oxnard St Tarzana CA 91356-1411 Ph: (818) 654-3911 | Tarzana Treatment Centers, Inc. 8330 Reseda Blvd Northridge CA 91324-4619 Ph: (818) 654-3911 |
| NPI Number | 1427043389 |
|---|---|
| Provider Enumeration Date | 09/16/2005 |
| Last Update Date | 12/22/2020 |
| Medicare PECOS PAC ID | 5991897845 |
|---|---|
| Medicare Enrollment ID | O20210202000821 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427043389 | NPI | - | NPPES |
| CMM70738F | Medicaid | CA | |
| CMM70739F | Medicaid | CA |
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