Organization
FORTITUDE RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROD AMIRI M.D. (EXECUTIVE DIRECTOR)
(323) 375-5959
Entity
Organization
Contact information
Practice address
2477 FLETCHER DR, LOS ANGELES, CA 90039-2801
(323) 375-5959
(323) 419-3165
Mailing address
2477 FLETCHER DR, LOS ANGELES, CA 90039-2801
(323) 375-5959
(323) 419-3165
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
0002934671-0001-4
CA
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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