Organization
PHOENIX HOUSES OF LOS ANGELES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. POURIA ABBASSI P.E. (SR. VICE PRESIDENT, REGIONAL DIRECT)
(818) 686-3000
Entity
Organization
Contact information
Practice address
503 OCEAN FRONT WALK, VENICE, CA 90291-2403
(310) 392-3070
(310) 392-9068
Mailing address
503 OCEAN FRONT WALK, VENICE, CA 90291-2403
(310) 392-3070
(310) 392-9068
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190115AN
CA
Other
Enumeration date
01/23/2007
Last updated
11/26/2013
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