Organization
TARZANA TREATMENT CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM SORG (IT DIRECTOR)
(818) 654-3911
Entity
Organization
Contact information
Practice address
7101 BAIRD AVE, RESEDA, CA 91335-4150
(818) 342-5897
Mailing address
18646 OXNARD ST, TARZANA, CA 91356-1411
(818) 996-1051
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
3336C0002X
Clinic Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054148
MEDICARE OSCAR/CERTIFICATION
CA
Enumeration date
03/21/2007
Last updated
12/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us