Organization
LA WELLNESS HOME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISHKHAN SHAHAZIZYAN (CEO)
(818) 808-0108
Entity
Organization
Contact information
Practice address
2428 N LINCOLN ST, BURBANK, CA 91504-2627
(818) 808-0108
Mailing address
2428 N LINCOLN ST, BURBANK, CA 91504-2627
(818) 808-0108
(323) 892-3866
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/15/2022
Last updated
10/04/2024
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