Organization
90210 RECOVERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERVINE RAZMAZMA (MANAGING PARTNER)
(408) 813-2323
Entity
Organization
Contact information
Practice address
1771 SUMMITRIDGE DR, BEVERLY HILLS, CA 90210-1607
(408) 813-2323
Mailing address
9663 SANTA MONICA BLVD # 900, BEVERLY HILLS, CA 90210-4303
(408) 813-2323
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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