Organization
SILICON BEACH SOBER LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOSEF GROSSMAN (CEO)
(310) 795-0542
Entity
Organization
Contact information
Practice address
14725 WEDDINGTON ST, SHERMAN OAKS, CA 91411-4043
(310) 795-0542
Mailing address
10211 VENICE BLVD, LOS ANGELES, CA 90034-5969
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/02/2019
Last updated
08/31/2023
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