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NPI Code Detail

MEDICARE: RESEDA SUBSTANCE ABUSE TREATMENT CENTER

MEDICARE: RESEDA SUBSTANCE ABUSE 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
1251S00000XCommunity/Behavioral Health Agency190324APCA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
16909OTHERCAMEDI CAL

General Provider Information

NPI Number : 1306009097
Entity Type Code : Organization
Provider Name (Legal Business Name) : RESEDA SUBSTANCE ABUSE TREATMENT CENTER
Provider Business Mailing Address
First Line : 8745 PARTHENIA PL
Second Line : SUITE 4
City : NORTH HILLS
State : CA
Zip : 91343-5166
Country : US
Telephone Number : 818-895-5002
Fax Number : 818-895-5502
Provider Business Practice Location Address
First Line : 8745 PARTHENIA PL
Second Line : SUITE 4
City : NORTH HILLS
State : CA
Zip : 91343-5166
Country : US
Telephone Number : 818-895-5002
Fax Number : 818-895-5502
Authorized Official
Title or Position : PRESIDENT CEO
Name : MRS. LUBA SHAPIRO
Credential :
Telephone Number : 818-895-5002
Provider Enumeration Date : 07/03/2008
Last Update Date : 07/03/2008

Similar Medicare Providers

1134127525 — RESEDA SUBSTANCE ABUSE TREATMENT CENTER
Practice Location Address:
8745 PARTHENIA PL , SUITE 4
NORTH HILLS, CA
91343-5166
Practice Phone: 818-895-5002
Practice Fax: 818-895-5502
1235272071 — WESTERN MEDICAL SERVICES INC.
Practice Location Address:
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Practice Fax: 818-895-1713
1831374024 — DMITRY GELMAN
Practice Location Address:
8745 PARTHENIA PL , SUITE 4
NORTH HILLS, CA
91343-5166
Practice Phone: 818-895-5002
Practice Fax: 818-895-5502
1750533287 — RESEDA SUBSTANCE ABUSE CENTER
Practice Location Address:
8745 PARTHENIA PL , SUITENUMBER 4
NORTH HILLS, CA
91343-5166
Practice Phone: 818-895-5002
Practice Fax: 818-895-5502
1154574945 — LEONDRA DANETTE RAMIREZ
Practice Location Address:
8745 PARTHENIA PL , # 4
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91343-5166
Practice Phone: 818-895-5002
Practice Fax: 818-895-5502
1679808968 — JOE SCOTT TUSHNET
Practice Location Address:
8745 PARTHENIA PL , SUITE 4
NORTH HILLS, CA
91343-5166
Practice Phone: 818-895-5002
Practice Fax: 818-895-5502

Directions to “RESEDA SUBSTANCE ABUSE TREATMENT CENTER ” Practice Location

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