Organization
LA INPATIENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN WASILAUSKY (OWNER)
(561) 569-6173
Entity
Organization
Contact information
Practice address
4138 SEPULVEDA BLVD, SHERMAN OAKS, CA 91403-4225
(561) 569-6172
Mailing address
4138 SEPULVEDA BLVD, SHERMAN OAKS, CA 91403-4225
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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