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NPI Code Detail

MEDICARE: LIFE LANDSCAPING, INC

MEDICARE: LIFE LANDSCAPING, 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
1261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center
2261QM0850XAdult Mental Health Clinic/Center

General Provider Information

NPI Number : 1972106656
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIFE LANDSCAPING, INC
Provider Business Mailing Address
First Line : 14411 TELEGRAPH RD
Second Line :
City : WHITTIER
State : CA
Zip : 90604-2909
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1212 N VERMONT AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90029-1769
Country : US
Telephone Number : 323-443-3225
Fax Number : 323-927-0105
Authorized Official
Title or Position : CEO
Name : MR. TAREK YOUSEF
Credential :
Telephone Number : 323-443-3225
Provider Enumeration Date : 11/17/2020
Last Update Date : 12/24/2024

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Directions to “LIFE LANDSCAPING, INC ” Practice Location

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