Organization
AMI/HTI TARZANA ENCINO JOINT VENTURE
Active
Other names
Encino-Tarzana Regional Medical Ctr-Tarzana
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS E. RABE (VP OF TAXATION, TENET HEALTHCARE)
(469) 893-2530
Entity
Organization
Contact information
Practice address
18321 CLARK ST, TARZANA, CA 91356-3501
(818) 881-0800
(818) 708-5382
Mailing address
PO BOX 31001-0152, PASADENA, CA 91110-0001
(626) 300-4122
(818) 907-8630
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
930000097
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050601B000000
SECTION 1011
—
05
—
HSC31408I
—
CA
05
—
HSP31408I
—
CA
01
—
ZZZA1915Z
BS OF CALIFORNIA
—
Enumeration date
07/08/2006
Last updated
07/21/2022
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