Organization
TARAZANA TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. XOCHILL AZMITIA (FSP CASE MANGER)
(818) 996-1051
Entity
Organization
Contact information
Practice address
18646 OXNARD ST, TARZANA, CA 91356-1411
(818) 996-1051
Mailing address
6646 HAZELTINE AVE, VAN NUYS, CA 91405-4754
(818) 808-5703
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
D6078636
CA
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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