Healthcare Provider Details

I. General information

NPI: 1902730997
Provider Name (Legal Business Name): OAK WELLNESS & RECOVERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9747 HAINES CANYON AVE
TUJUNGA CA
91042-3312
US

IV. Provider business mailing address

9747 HAINES CANYON AVE
TUJUNGA CA
91042-3312
US

V. Phone/Fax

Practice location:
  • Phone: 818-645-5430
  • Fax: 818-645-5430
Mailing address:
  • Phone: 818-645-5430
  • Fax: 818-645-5430

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: ASATUR DARBINYAN
Title or Position: CEO
Credential:
Phone: 818-645-5430