PETRA WELLNESS INC NPI 1508618612

NPI Information

NPI: 1508618612
Provider Name: PETRA WELLNESS, INC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
22839 DOLOROSA ST
WOODLAND HILLS, CA
ZIP 91367
Phone: (918) 964-3632
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PETRA WELLNESS, INC is a rehabilitation and substance use disorder clinic center in Woodland Hills, CA. PETRA WELLNESS, INC NPI is 1508618612. The provider is registered as an organization entity type.

The provider's business location address is:

22839 DOLOROSA ST
WOODLAND HILLS, CA
ZIP 91367-320
Phone: (918) 964-3632

The provider's authorized official is Khaled Kamal Al-alawneh .
The authorized official title is Ceo and has the following contact phone number (918) 964-3632.

The enumeration date for this NPI number is 4/2/2024 and was last updated on 4/2/2024.

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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