Healthcare Provider Details

I. General information

NPI: 1801710231
Provider Name (Legal Business Name): JUSTSURVIVEORG INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5850 CANOGA AVE STE 400
WOODLAND HILLS CA
91367-6554
US

IV. Provider business mailing address

5850 CANOGA AVE STE 400
WOODLAND HILLS CA
91367-6554
US

V. Phone/Fax

Practice location:
  • Phone: 818-336-8588
  • Fax: 818-888-2119
Mailing address:
  • Phone: 818-336-8588
  • Fax: 818-888-2119

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: FREDERICK CALLOWAY
Title or Position: CEO
Credential:
Phone: 818-336-8588