Organization
SHARE OXFORD FOUNDATION
Active
Other names
Share Unit
Organization subpart
No
Provider details
NPI number
Authorized official
APRIL J ANTONIOU (CREDENTIALING SERVICES MANAGER)
(805) 413-1318
Entity
Organization
Contact information
Practice address
1628 N OXFORD AVE, PASADENA, CA 91104-1514
(800) 798-6606
(626) 791-0711
Mailing address
3717 E THOUSAND OAKS BLVD, SUITE 266, WESTLAKE VILLAGE, CA 91362-3607
(805) 413-1318
(805) 413-1304
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
190256AN
CA
Other
Enumeration date
02/08/2007
Last updated
08/22/2020
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