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NPI Code Detail

MEDICARE: HEALTHRIGHT 360

MEDICARE: HEALTHRIGHT 360
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1324500000XSubstance Abuse Rehabilitation Facility560019CNCA

General Provider Information

NPI Number : 1124285796
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTHRIGHT 360
Provider Business Mailing Address
First Line : 1563 MISSION ST FL 4
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94103-2543
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2150 N VICTORIA AVE
Second Line :
City : OXNARD
State : CA
Zip : 93036-7791
Country : US
Telephone Number : 805-382-6296
Fax Number : 805-815-0487
Authorized Official
Title or Position : PRESIDENT AND CEO
Name : VITKA EISEN
Credential :
Telephone Number : 213-542-3838
Provider Enumeration Date : 05/20/2008
Last Update Date : 08/22/2017

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Directions to “HEALTHRIGHT 360 ” Practice Location

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