MEDICARE: RITZ RECOVERY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1114603107
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RITZ RECOVERY INC

Provider Business Mailing Address
First Line	:	6451 WEIDLAKE DR
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90068-2277
Country	:	US
Telephone Number	:	213-802-2202
Fax Number	:

Provider Business Practice Location Address
First Line	:	6451 WEIDLAKE DR
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90068-2277
Country	:	US
Telephone Number	:	213-802-2202
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	AYKAZ SARKISYAN
Credential	:
Telephone Number	:	818-400-5501

Provider Enumeration Date	:	06/23/2023
Last Update Date	:	06/23/2023

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Directions to “RITZ RECOVERY INC ” Practice Location

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