Organization
NORTHSTAR DETOX & REHAB CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOSSEIN JOUKAR MD (MEDICAL DIRECTOR)
(305) 319-1133
Entity
Organization
Contact information
Practice address
19500 WINIFRED ST, TARZANA, CA 91356-3815
(818) 928-2042
(818) 928-2043
Mailing address
19500 WINIFRED ST, TARZANA, CA 91356-3815
(818) 928-2042
(818) 928-2043
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/04/2020
Last updated
09/23/2022
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