Vogue Recovery California, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

VOGUE RECOVERY CALIFORNIA, LLC

Practice address

4960 Vanalden Ave
Tarzana, CA 91356-4718

Phone

(818) 881-8944

NPI assigned

Oct 22, 2019

Organization subpart

No

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

Authorized official

Name

Gevork Boyadzhyan

Title

Ceo

Phone

(818) 916-8116

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571702400000",
    "number": "1770126849",
    "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": "818-304-8071",
            "fax_number": "818-374-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4960 VANALDEN AVE",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564718",
            "telephone_number": "818-881-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOGUE RECOVERY CALIFORNIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-22",
        "last_updated": "2019-10-22",
        "status": "A",
        "authorized_official_last_name": "BOYADZHYAN",
        "authorized_official_first_name": "GEVORK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-916-8116"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ritu Jain Viswanath, MD
• Vital Speech and Swallow
• Jennelyn Acedera Vizcarra
• Martha Trinidad Vizcarra
• Catherine Vizconde, BCBA
• Sharon Volner, LMFT
• Klarina Volynskaya
• Bianca Vosoghi
• Vytal Surgical Institute Inc
• Abagail Rose Waight, MS

• 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 Oct 22, 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.