| Tarzana Treatment Centers, Inc. | |
|
18646 Oxnard St Tarzana CA 91356-1411 | |
| (818) 996-1051 | |
| Not Available |
| Full Name | Tarzana Treatment Centers, Inc. |
|---|---|
| Speciality | Psychiatric Hospital |
| Location | 18646 Oxnard St, Tarzana, California |
| Authorized Official Name and Position | Jim Sorg (DIRECTOR OF INFORMATION TECHNOLOGY) |
| Authorized Official Contact | 8189961051 |
| 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) 996-1051 | Tarzana Treatment Centers, Inc. 18646 Oxnard St Tarzana CA 91356-1411 Ph: (818) 996-1051 |
| NPI Number | 1396076147 |
|---|---|
| Provider Enumeration Date | 01/19/2010 |
| Last Update Date | 12/22/2020 |
| Medicare PECOS PAC ID | 5991897845 |
|---|---|
| Medicare Enrollment ID | O20100226000345 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396076147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
| 283Q00000X | Psychiatric Hospital | (* (Not Available)) | Primary |
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