Organization
AXIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL DEKIN (COO)
(760) 641-3972
Entity
Organization
Contact information
Practice address
3215 CHEVIOT VISTA PL, LOS ANGELES, CA 90034-3509
(310) 202-1593
Mailing address
3215 CHEVIOT VISTA PL, LOS ANGELES, CA 90034-3509
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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