Healthcare Provider Details

I. General information

NPI: 1730706979
Provider Name (Legal Business Name): OAK FOREST RECOVERY CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2020
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5655 LINDERO CANYON RD SUITE 425
WESTLAKE VILLAGE CA
91362-4046
US

IV. Provider business mailing address

5655 LINDERO CANYON RD SUITE 425
WESTLAKE VILLAGE CA
91362-4046
US

V. Phone/Fax

Practice location:
  • Phone: 805-390-6647
  • Fax: 888-827-2346
Mailing address:
  • Phone: 805-390-6647
  • Fax: 888-827-2346

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: ROBERT JAY ELIZARRAZ
Title or Position: CEO/PRESIDENT
Credential:
Phone: 805-390-6647