Healthcare Provider Details

I. General information

NPI: 1558296665
Provider Name (Legal Business Name): TEMPLE HILL HOLLYWOOD DETOX INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18233 CLARK ST
TARZANA CA
91356-3601
US

IV. Provider business mailing address

18233 CLARK ST
TARZANA CA
91356-3601
US

V. Phone/Fax

Practice location:
  • Phone: 747-277-6197
  • Fax:
Mailing address:
  • Phone: 747-277-6197
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MISS MARIANNA ARSHAKYAN
Title or Position: CEO
Credential:
Phone: 818-426-9102