Los Angeles Detox LLC
NPI #1154906220 in Tarzana, California
Provider Information
- NPI Number
- 1154906220
- Entity Type
- Organization
- Organization Name
- Los Angeles Detox LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Mar 10, 2021
- Last Updated
- Aug 31, 2023
Practice Location
- Address
- 5537 SYLVIA AVE
- City
- Tarzana
- State
- California
- ZIP Code
- 91356-3119
- Phone
- (310) 795-0542
Authorized Official
- Name
- YOSEF GROSSMAN
- Title
- CEO
- Phone
- (310) 795-0542
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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