| Tarzana Treatment Centers, Inc. | |
|
320 E Palmdale Blvd Palmdale CA 93550-4598 | |
| (818) 996-1051 | |
| (818) 996-3051 |
| Full Name | Tarzana Treatment Centers, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 320 E Palmdale Blvd, Palmdale, California |
| Authorized Official Name and Position | Albert Senella (PRESIDENT/CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 8186543815 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tarzana Treatment Centers, Inc. 18646 Oxnard St Tarzana CA 91356-1411 Ph: (818) 654-3815 | Tarzana Treatment Centers, Inc. 320 E Palmdale Blvd Palmdale CA 93550-4598 Ph: (818) 996-1051 |
| NPI Number | 1285930396 |
|---|---|
| Provider Enumeration Date | 02/07/2011 |
| Last Update Date | 12/22/2020 |
| Medicare PECOS PAC ID | 5991897845 |
|---|---|
| Medicare Enrollment ID | O20210129000753 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285930396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
| 261QM2500X | Clinic/center - Medical Specialty | (* (Not Available)) | Primary |
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