Organization Active NPI

Rebirth Treatment Center

  • Substance Abuse Rehabilitation Facility
  • Woodland Hills, CA
National Provider Identifier
1669158945
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
REBIRTH TREATMENT CENTER
Practice address
24555 Calvert St
Woodland Hills, CA 91367-1015
Phone
(202) 528-1182
NPI assigned
Jun 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Authorized official

Name
Mr. Karim Abdel-Wahab, CADC IIINPI 1699334250
Title
Owner
Phone
(202) 528-1182

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

24555 Calvert St
Woodland Hills, CA 91367-1015

Mailing address

6084 Lake Lindero Dr
Agoura Hills, CA 91301-4638
Phone (202) 528-1182

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1669158945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6084 LAKE LINDERO DR",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014638",
            "telephone_number": "202-528-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24555 CALVERT ST",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913671015",
            "telephone_number": "202-528-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBIRTH TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-22",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "ABDEL-WAHAB",
        "authorized_official_first_name": "KARIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-528-1182",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CADC III"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.