Healthcare Provider Details

I. General information

NPI: 1023926797
Provider Name (Legal Business Name): HOUSE OF ZEN HARTLAND LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22441 HARTLAND ST
WEST HILLS CA
91307-2618
US

IV. Provider business mailing address

22441 HARTLAND ST
WEST HILLS CA
91307-2618
US

V. Phone/Fax

Practice location:
  • Phone: 747-226-1757
  • Fax: 747-226-1044
Mailing address:
  • Phone: 747-226-1757
  • Fax: 747-226-1044

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: MR. JONATHAN BARBER
Title or Position: PROGRAM DIRECTOR
Credential: LAADC/ICAADC, ASW
Phone: 213-732-6368