Vogue Recovery Arizona

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

VOGUE RECOVERY ARIZONA

Practice address

4122 N 17TH St Ste a
Phoenix, AZ 85016-5922

Phone

(818) 304-0705

NPI assigned

Jul 4, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

George Boyadzhyan

Title

Owner

Phone

(818) 304-0705

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562371200000",
    "number": "1174185680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16501 SHERMAN WAY STE 100",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063757",
            "telephone_number": "818-304-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4122 N 17TH ST STE A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165922",
            "telephone_number": "818-304-0705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4122 N 17th St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850165922",
            "country_code": "US",
            "telephone_number": "818-304-0705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VOGUE RECOVERY ARIZONA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-04",
        "last_updated": "2019-07-06",
        "status": "A",
        "authorized_official_last_name": "BOYADZHYAN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-304-0705"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Vogt-McGee, PHARMD
• Brianne Michelle Vogt-Roberts, PHARM.D.
• Marla Anne Vogt-Roberts, CNM
• Crystal Vogt
• Rachel Vogt, PT
• Vogue Recovery Center
• Vogue Recovery Center Outpatient
• Vogue Recovery Center, LLC
• Arjun Vohra, MD
• Rajwant Sodhi Vohra, PHARM D.

• Substance Use Disorder Rehabilitation Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.