NPI: 1720432800
Provider Name: CANYON WEST LOS ANGELES LLC
Doing Business As: FOUNDATIONS LOS ANGELES
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization
Specialization: Rehabilitation, Substance Use Disorder
Address:
17167 W. VENTURA BOULEVARD
ENCINO, CA
ZIP 91316
Phone: (818) 464-1700
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CANYON WEST LOS ANGELES LLC is a rehabilitation and substance use disorder clinic center in Encino, CA. CANYON WEST LOS ANGELES LLC NPI is 1720432800. The provider is registered as an organization entity type.
The provider Is Doing Business As Foundations Los Angeles.
The provider's business location address is:
17167 W. VENTURA BOULEVARD
ENCINO, CA
ZIP 91316
Phone: (818) 464-1700
Fax: (615) 373-4656
The provider's authorized official is Steve Filton .
The authorized official title is Evp-chief Financial Officer and has the following contact phone number (610) 382-3319.
The enumeration date for this NPI number is 4/14/2016 and was last updated on 5/20/2019.