MEDICARE: OPEN ARMS MEN'S 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
1	3245S0500X	Children's Substance Abuse Rehabilitation Facility	7222	CA

General Provider Information

NPI Number	:	1134248883
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPEN ARMS MEN'S CENTER

Provider Business Mailing Address
First Line	:	8306 WILSHIRE BLVD
Second Line	:	SUITE 7024
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-2304
Country	:	US
Telephone Number	:	323-755-2742
Fax Number	:

Provider Business Practice Location Address
First Line	:	11502 S VERMONT AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90044-6522
Country	:	US
Telephone Number	:	323-755-2742
Fax Number	:	323-755-8787

Authorized Official
Title or Position	:	CEO
Name	:	MS. RHONDA LABOMME
Credential	:
Telephone Number	:	323-855-5656

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	08/22/2020

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