Organization
LOS ANGELES DETOX LLC
Active
Other names
Detox LA
Organization subpart
No
Provider details
NPI number
Authorized official
YOSEF GROSSMAN (CEO)
(310) 795-0542
Entity
Organization
Contact information
Practice address
5537 SYLVIA AVE, TARZANA, CA 91356-3119
(310) 795-0542
Mailing address
5537 SYLVIA AVE, TARZANA, CA 91356-3119
(310) 795-0542
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/10/2021
Last updated
08/31/2023
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