Active NPI
Rebirth Treatment Center
- Substance Abuse Rehabilitation Facility
- Woodland Hills, CA
National Provider Identifier
1669158945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Karim Abdel-Wahab, CADC III
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Altadena, CA
- NPI 1699334250
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.