MEDICARE: CHC BEHAVIORAL HEALTH LLC

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
2	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1609515626
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHC BEHAVIORAL HEALTH LLC

Provider Business Mailing Address
First Line	:	18022 LAKE ENCINO DR
Second Line	:
City	:	ENCINO
State	:	CA
Zip	:	91316-4428
Country	:	US
Telephone Number	:	818-599-8539
Fax Number	:

Provider Business Practice Location Address
First Line	:	18022 LAKE ENCINO DR
Second Line	:
City	:	ENCINO
State	:	CA
Zip	:	91316-4428
Country	:	US
Telephone Number	:	818-599-8539
Fax Number	:

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. MARK HONZEL
Credential	:
Telephone Number	:	818-599-8539

Provider Enumeration Date	:	05/27/2022
Last Update Date	:	06/19/2024

Similar Medicare Providers

1952991374 — VISTA BEHAVIORAL LLC
Practice Location Address:

18022 LAKE ENCINO DR
ENCINO, CA
91316-4428

Practice Phone: 973-277-5359
Practice Fax:

1124435904 — DR. MOHAMMAD KHALEGHI DDS
Practice Location Address:

16060 VENTURA BLVD STE 110
ENCINO, CA
91436-4428

Practice Phone: 818-324-5978
Practice Fax:

1720668460 — JENNIFER ELIZABETH ROSEN LMFT
Practice Location Address:

16060 VENTURA BLVD STE 110
ENCINO, CA
91436-4428

Practice Phone: 310-927-0013
Practice Fax:

1023310687 — DR. SAMUEL SUNGWON KIM M.D.
Practice Location Address:

5400 BALBOA BLVD STE 326
ENCINO, CA
91316-5214

Practice Phone: 818-789-0941
Practice Fax: 818-789-6726

1104465541 — SAM KIM PHYSICIAN SERVICES INC
Practice Location Address:

5400 BALBOA BLVD STE 326
ENCINO, CA
91316-5214

Practice Phone: 818-789-0941
Practice Fax: 818-789-6726

1972461952 — MARILYN GARCIA FERNANDEZ
Practice Location Address:

4924 BALBOA BLVD
ENCINO, CA
91316-3402

Practice Phone: 818-423-8643
Practice Fax:

Directions to “CHC BEHAVIORAL HEALTH LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.