Organization
VOGUE RECOVERY CALIFORNIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEVORK BOYADZHYAN (CEO)
(818) 916-8116
Entity
Organization
Contact information
Practice address
4960 VANALDEN AVE, TARZANA, CA 91356-4718
(818) 881-8944
Mailing address
16501 SHERMAN WAY STE 100, VAN NUYS, CA 91406-3757
(818) 304-8071
(818) 374-1385
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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