MEDICARE: VIP DRUG AND ALCOHOL EDUCATION 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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1700181708
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIP DRUG AND ALCOHOL EDUCATION CENTER

Provider Business Mailing Address
First Line	:	18417 NORDHOFF ST STE D
Second Line	:
City	:	NORTHRIDGE
State	:	CA
Zip	:	91325-2276
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1114 S LORENA ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90023-2915
Country	:	US
Telephone Number	:	818-734-2761
Fax Number	:

Authorized Official
Title or Position	:	SECRETARY
Name	:	ARMINE TOROSYAN
Credential	:
Telephone Number	:	818-734-2761

Provider Enumeration Date	:	01/21/2011
Last Update Date	:	04/08/2015

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Directions to “VIP DRUG AND ALCOHOL EDUCATION CENTER ” Practice Location

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