| Tarzana Treatment Centers, Inc. | |
|
8330 Reseda Blvd Northridge CA 91324-4619 | |
| (818) 996-1051 | |
| (818) 996-3051 |
| Full Name | Tarzana Treatment Centers, Inc. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 8330 Reseda Blvd, Northridge, California |
| Authorized Official Name and Position | Jim Sorg (COO) |
| 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 91356-1411 Ph: (818) 996-1051 | Tarzana Treatment Centers, Inc. 8330 Reseda Blvd Northridge CA 91324-4619 Ph: (818) 996-1051 |
| NPI Number | 1336243625 |
|---|---|
| Provider Enumeration Date | 09/08/2006 |
| Last Update Date | 01/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336243625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 96000115 (California) | Primary |
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