PARK ELITE DETOX LLC NPI 1063279438

NPI Information

NPI: 1063279438
Provider Name: PARK ELITE DETOX LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
23670 PARK ANDORRA
CALABASAS, CA
ZIP 91302
Phone: (806) 808-0008
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PARK ELITE DETOX LLC is a rehabilitation and substance use disorder clinic center in Calabasas, CA. PARK ELITE DETOX LLC NPI is 1063279438. The provider is registered as an organization entity type.

The provider's business location address is:

23670 PARK ANDORRA
CALABASAS, CA
ZIP 91302-760
Phone: (806) 808-0008
Fax: (818) 499-0992

The provider's authorized official is Arus Gyulbudagyan .
The authorized official title is Ceo and has the following contact phone number (806) 808-0008.

The enumeration date for this NPI number is 3/4/2024 and was last updated on 4/15/2024.

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
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

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

NPI Synchronization or Removal

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