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NPI Code Detail

MEDICARE: TARZANA TREATMENT CENTER

MEDICARE: TARZANA TREATMENT CENTER
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1114850575
Entity Type Code : Organization
Provider Name (Legal Business Name) : TARZANA TREATMENT CENTER
Provider Business Mailing Address
First Line : 18646 OXNARD ST
Second Line :
City : TARZANA
State : CA
Zip : 91356-1486
Country : US
Telephone Number : 818-996-1051
Fax Number : 818-996-1051
Provider Business Practice Location Address
First Line : 18646 OXNARD ST
Second Line :
City : TARZANA
State : CA
Zip : 91356-1486
Country : US
Telephone Number : 818-996-1051
Fax Number : 818-996-1051
Authorized Official
Title or Position : COUNSELOR 1
Name : MR. GEOVANNI DAVID PLACERES
Credential :
Telephone Number : 661-235-3602
Provider Enumeration Date : 06/05/2026
Last Update Date : 06/05/2026

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Directions to “TARZANA TREATMENT CENTER ” Practice Location

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