Healthcare Provider Details

I. General information

NPI: 1609656404
Provider Name (Legal Business Name): OJAI RECOVERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2023
Last Update Date: 06/03/2025
Certification Date: 06/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

158 ROCKAWAY RD
OAK VIEW CA
93022-9306
US

IV. Provider business mailing address

15021 VENTURA BLVD STE 797
SHERMAN OAKS CA
91403-2442
US

V. Phone/Fax

Practice location:
  • Phone: 310-780-1667
  • Fax:
Mailing address:
  • Phone: 310-780-1667
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. JASON H LANDVER
Title or Position: MANAGING MEMBER
Credential:
Phone: 310-780-1667