Organization
FRIENDSHIP CIRCLE OF THE WEST COAST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIMON GOLDBERG (DIRECTOR)
(917) 455-9179
Entity
Organization
Contact information
Practice address
17315 W SUNSET BLVD, PACIFIC PALISADES, CA 90272-4101
(917) 455-9179
Mailing address
17315 W SUNSET BLVD, PACIFIC PALISADES, CA 90272-4101
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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