911 Detox Center Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

911 DETOX CENTER INC.

Practice address

18233 Clark St
Tarzana, CA 91356-3601

Phone

(661) 312-0392

Fax

(661) 296-2836

NPI assigned

Mar 25, 2021

Last updated

Mar 25, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Inessa Nazaryan

Title

Ceo

Phone

(818) 415-2610

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1194302109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27116 RIO PRADO DR",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913542256",
            "telephone_number": "818-415-2610",
            "fax_number": "661-296-2836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18233 CLARK ST",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563601",
            "telephone_number": "661-312-0392",
            "fax_number": "661-296-2836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "911 DETOX CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "NAZARYAN",
        "authorized_official_first_name": "INESSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-415-2610",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• A Seif MD Corp.
• A Team Home Health Services

• Substance Abuse Rehabilitation Facility in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.