| Ioan Recovery Center, Llc | |
|
14536 Roscoe Blvd Ste 101 Panorama City CA 91402-4103 | |
| (818) 539-7584 | |
| Not Available |
| Full Name | Ioan Recovery Center, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 14536 Roscoe Blvd Ste 101, Panorama City, California |
| Authorized Official Name and Position | Christopher Eugene Bass (OWNER) |
| Authorized Official Contact | 8185397584 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ioan Recovery Center, Llc 14536 Roscoe Blvd Ste 101 Panorama City CA 91402-4103 Ph: (818) 539-7584 | Ioan Recovery Center, Llc 14536 Roscoe Blvd Ste 101 Panorama City CA 91402-4103 Ph: (818) 539-7584 |
| NPI Number | 1881482248 |
|---|---|
| Provider Enumeration Date | 04/28/2025 |
| Last Update Date | 04/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881482248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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