| Oxnard Rehab LLC | |
|
721 S A St Fl 1 Oxnard CA 93030-7179 | |
| (310) 343-8684 | |
| Not Available |
| Full Name | Oxnard Rehab LLC |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 721 S A St Fl 1, Oxnard, California |
| Authorized Official Name and Position | Shaina Donner (OWNER) |
| Authorized Official Contact | 3103438684 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oxnard Rehab LLC 1800 Vine St Ste 216 Los Angeles CA 90028-5250 | Oxnard Rehab LLC 721 S A St Fl 1 Oxnard CA 93030-7179 Ph: (310) 343-8684 |
| NPI Number | 1871299917 |
|---|---|
| Provider Enumeration Date | 01/31/2023 |
| Last Update Date | 01/31/2023 |
| Certification Date | 01/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871299917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (NU) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (NU) | Primary |
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