Organization
AMERICAN HEALTH SERVICES LLC
Active
Other names
Hollywood Medical and Mental Health Serivces
Organization subpart
No
Provider details
NPI number
Authorized official
PRAMESH P SHARMA (ADMINISTARIVE DIRECTOR)
(661) 254-6630
Entity
Organization
Contact information
Practice address
5015 W PICO BLVD, LOS ANGELES, CA 90019-4127
(323) 653-1677
(323) 653-1691
Mailing address
PO BOX 801809, VALENCIA, CA 91380-1809
(661) 254-6630
(661) 254-6644
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
19 140
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19-140
—
CA
05
—
6734
—
CA
05
—
HDC70052F
—
CA
Enumeration date
11/08/2006
Last updated
04/01/2020
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