MEDICARE: CLEAR VISION TREATMENT CENTERS 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	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1295556207
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLEAR VISION TREATMENT CENTERS INC.

Provider Business Mailing Address
First Line	:	8007 BROADLEAF AVE
Second Line	:
City	:	PANORAMA CITY
State	:	CA
Zip	:	91402-5401
Country	:	US
Telephone Number	:	818-201-5199
Fax Number	:

Provider Business Practice Location Address
First Line	:	321 W HOBSONWAY STE A
Second Line	:
City	:	BLYTHE
State	:	CA
Zip	:	92225-1651
Country	:	US
Telephone Number	:	818-201-5199
Fax Number	:	818-294-7134

Authorized Official
Title or Position	:	CEO
Name	:	ARHUR KAZANCHIAN
Credential	:
Telephone Number	:	818-201-5199

Provider Enumeration Date	:	10/22/2024
Last Update Date	:	10/22/2024

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