Organization
CONSCIOUS LIVING TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. A JOSEPH JOBRANI M.D. (CLINIC DIRECTOR & SPONSOR)
(818) 235-9141
Entity
Organization
Contact information
Practice address
10787 WILSHIRE BLVD, LOS ANGELES, CA 90024
(818) 235-9142
(443) 588-2995
Mailing address
10787 WILSHIRE BLVD, LOS ANGELES, CA 90024
(818) 235-9142
(443) 588-2995
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/12/2011
Last updated
08/12/2011
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