Healthcare Provider Details
I. General information
NPI: 1023955937
Provider Name (Legal Business Name): DART TO WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7035 CALHOUN AVE
VAN NUYS CA
91405-3212
US
IV. Provider business mailing address
7035 CALHOUN AVE
VAN NUYS CA
91405-3212
US
V. Phone/Fax
- Phone: 818-679-5391
- Fax:
- Phone: 818-679-5391
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 324500000X |
| Taxonomy | Substance Abuse Rehabilitation Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
AVIK
SHERIAN
Title or Position: CEO
Credential:
Phone: 818-678-5391