Organization
SILICON BEACH OUTPATIENT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH GROSSMAN (CEO)
(310) 795-0542
Entity
Organization
Contact information
Practice address
10211 VENICE BLVD, LOS ANGELES, CA 90034-5969
(310) 795-0542
Mailing address
10211 VENICE BLVD, LOS ANGELES, CA 90034-5969
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
02/17/2016
Last updated
04/12/2022
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