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General NPI Number Information
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NPI Number | 1891639308
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Entity Type | Organization
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Legal Business Name | GOLDEN STATE REHAB LLC
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Dates
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Enumeration Date | 04/15/2026
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 1964 WESTWOOD BLVD STE 425
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City | LOS ANGELES
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State | CA
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Zip | 90025-8422
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Country | US
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Telephone | 424-208-3120
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Fax |
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Provider Business Mailing Address
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Address Line | 1964 WESTWOOD BLVD STE 425
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City | LOS ANGELES
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State | CA
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Zip | 90025-8422
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Country | US
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Telephone | 424-208-3120
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | UZAIR MUHEB
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Credential |
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Telephone | 404-207-7485
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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