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TARZANA TREATMENT CENTERS INC NPI 1003219775


NPI Information

NPI: 1003219775
Provider Name: TARZANA TREATMENT CENTERS, INC

Other Name: TARZANA TREATMENT CENTERS FAMILY MEDICAL GRANADA HILLS CLINI

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
10605 BALBOA BLVD
GRANADA HILLS, CA
ZIP 91344
Phone: (818) 654-3815
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TARZANA TREATMENT CENTERS, INC is a clinic center in Granada Hills, CA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). TARZANA TREATMENT CENTERS, INC NPI is 1003219775. The provider is registered as an organization entity type.
The provider Other Name Is Tarzana Treatment Centers Family Medical Granada Hills Clini.

The provider's business location address is:

10605 BALBOA BLVD
GRANADA HILLS, CA
ZIP 91344-342
Phone: (818) 654-3815

The provider's authorized official is Albert Senella .
The authorized official title is President/chief Executive Officer and has the following contact phone number (818) 654-3815.

The enumeration date for this NPI number is 10/8/2014 and was last updated on 5/4/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1W20972MEDICARE OSCAR/CERTIFICATIONCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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