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General NPI Number Information
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NPI Number | 1730706979
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Entity Type | Organization
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Legal Business Name | OAK FOREST RECOVERY CENTER, INC
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Dates
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Enumeration Date | 07/04/2020
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 5655 LINDERO CANYON RD SUITE 425
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91362-4046
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Country | US
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Telephone | 805-390-6647
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Fax | 888-827-2346
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Provider Business Mailing Address
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Address Line | 5655 LINDERO CANYON RD SUITE 425
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91362-4046
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Country | US
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Telephone | 805-390-6647
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Fax | 888-827-2346
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | ROBERT JAY ELIZARRAZ
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Credential |
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Telephone | 805-390-6647
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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