TARZANA TREATMENT CENTERS, INC.


Address: 5190 Atlantic Ave, Long Beach, CA 90805-6510
Phone: 8189961051

TARZANA TREATMENT CENTERS, INC. (NPI# 1003941683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003941683
Entity Type Organization
Organization Name TARZANA TREATMENT CENTERS, INC.
Practice Address 5190 Atlantic Ave
Long Beach
CA 90805-6510
Mailing Address 18646 Oxnard St
Tarzana
CA 91356-1411
Practice Telephone 8189961051
Mailing Telephone 8189961051
Enumeration Date 2007-02-22
Last Update Date 2020-04-07
Authorized Official Name JIM SORG (DIRECTOR OF IT & INTEGRATED CARE)
Authorized Official Telephone 8189961051
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 3336C0002X Pharmacy
Specialization: Clinic Pharmacy
Suppliers
N 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities
Y 324500000X Substance Abuse Rehabilitation Facility 190085NN CA Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA NPPES OSCAR CORRECTION 054148 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1841581022 Tarzana Treatment Centers, Inc. Community/Behavioral Health 44459 & 44461 10th Street, Lancaster, CA 93534 2011-04-22
1881710887 Tarzana Treatment Centers, Inc. Clinic/Center 7101 Baird Ave, Reseda, CA 91335-4150 2007-03-21
1710012455 Tarzana Treatment Centers, Inc. Substance Abuse Rehabilitation Facility 2101 Magnolia Ave, Long Beach, CA 90806-4521 2007-02-22
1427043389 Tarzana Treatment Centers, Inc. Pharmacy 8330 Reseda Blvd, Northridge, CA 91324-4619 2005-09-16
1073951216 Tarzana Treatment Centers, Inc. Clinic/Center 18646 Oxnard St, Tarzana, CA 91356-1411 2013-06-10
1285930396 Tarzana Treatment Centers, Inc. Clinic/Center 320 E Palmdale Blvd, Palmdale, CA 93550-4598 2011-02-07
1396076147 Tarzana Treatment Centers, Inc. Psychiatric Hospital 18646 Oxnard St, Tarzana, CA 91356-1411 2010-01-19
1619106747 Tarzana Treatment Centers, Inc. Clinic/Center 44443 10th St W, Lancaster, CA 93534-3346 2009-07-10
1639390339 Tarzana Treatment Centers, Inc. Clinic/Center 907 W Lancaster Blvd, Lancaster, CA 93534-2305 2007-05-01
1881710861 Tarzana Treatment Centers, Inc. Clinic/Center 907 W Lancaster Blvd, Lancaster, CA 93534-2305 2007-03-22

Office Location

Street Address 5190 ATLANTIC AVE
City LONG BEACH
State CA
Zip Code 90805-6510

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831790880 Manuel Gomez Case Manager/Care Coordinator 5190 Atlantic Ave, Long Beach, CA 90805-6510 2020-11-05
1033724588 Desiree Tessier Counselor 5190 Atlantic Ave, Long Beach, CA 90805-6510 2020-09-11
1922622091 Wendy Marie Casey Community Health Worker 5190 Atlantic Ave, Long Beach, CA 90805-6510 2020-06-03
1528690237 Kristal Gastelum Specialist 5190 Atlantic Ave, Long Beach, CA 90805-6510 2020-02-10
1508405614 Alexandra Savage Social Worker 5190 Atlantic Ave, Long Beach, CA 90805-6510 2020-01-06
1447802988 Andy Aguila Counselor 5190 Atlantic Ave, Long Beach, CA 90805-6510 2019-07-15
1053973388 Grace Tsai Counselor 5190 Atlantic Ave, Long Beach, CA 90805-6510 2019-07-08
1952963316 Jennifer Michell Eyo Morales Social Worker 5190 Atlantic Ave, Long Beach, CA 90805-6510 2019-07-05
1265090294 Ahsaki Parra-castro Case Manager/Care Coordinator 5190 Atlantic Ave, Long Beach, CA 90805-6510 2019-06-04
1720643315 Shirley Balderrama Case Manager/Care Coordinator 5190 Atlantic Ave, Long Beach, CA 90805-6510 2019-05-08
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073154928 Makando Mutanda Counselor 161 West Victoria St., Long Beach, CA 90805 2019-10-02
1326609496 Alliance Hospitalist Medical Corporation Internal Medicine 3300 E South St Ste 307, Lakewood, CA 90805 2019-06-27
1609345925 Belmont Rx LLC Pharmacy 6583 Atlantic Ave., 1st Floor Ste 109, Long Beach, CA 90805 2018-11-15
1508359605 Mykayla Rowley Case Manager/Care Coordinator 5190 Atlatic Ave, Long Beach, CA 90805 2018-06-13
1942728589 Marissa Liana Cabral Social Worker 5190 Atantic Ave, Long Beach, CA 90805 2017-09-04
1245757673 Karina Vasquez Licensed Vocational Nurse 1325 E Poppy St, Long Beach, CA 90805 2017-08-25
1376060277 Rebekkah Dawn Williams Counselor 100 East Market Street, Long Beach, CA 90805 2017-08-23
1871038919 Andrea Dabbs Pharmacist 3700 E. South St., Lakewood, CA 90805 2016-12-28
1164972360 Young Men's Christian Association of Greater Long Beach Health Educator 4949 Atlantic Ave, Long Beach, CA 90805 2016-10-12
1043662158 Kristina Eunjeong Chang Podiatrist 3700 E South Street, Lakewood, CA 90805 2016-07-13
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Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Notes: [7/1/2003: modified title, modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609369313 American Indian Changing Spirits Substance Abuse Rehabilitation Facility 2120 W Williams St Bldg 3, Long Beach, CA 90810-3636 2018-06-08
1669907523 Ashley Clary Substance Abuse Rehabilitation Facility 6621 Pacific Coast Highway, Long Beach, CA 90803 2017-04-27
1730623299 Bpp Lb Recovery, LLC Substance Abuse Rehabilitation Facility 1535 E 1st St, Long Beach, CA 90802-5931 2016-12-16
1629439898 Tranquility Counseling Services Substance Abuse Rehabilitation Facility 720 W 4th St Unit 404, Long Beach, CA 90802-2100 2016-03-15
1053784264 Safe Refuge Substance Abuse Rehabilitation Facility 3113 E 7th St, Long Beach, CA 90804-4932 2015-11-10
1033582242 Safe Refuge Substance Abuse Rehabilitation Facility 3115 E 7th St, Long Beach, CA 90804-4932 2015-11-10
1932572146 Safe Refuge Substance Abuse Rehabilitation Facility 3119 E 7th St, Long Beach, CA 90804-4932 2015-11-10
1104299312 Safe Refuge Substance Abuse Rehabilitation Facility 3131 E 7th St, Long Beach, CA 90804-4935 2015-11-10
1811360027 Safe Refuge Substance Abuse Rehabilitation Facility 719 Obispo Ave, Long Beach, CA 90804-5028 2015-11-10
1386017598 Safe Refuge Substance Abuse Rehabilitation Facility 727 Obispo Ave, Long Beach, CA 90804-5027 2015-11-10
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Competitor

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City LONG BEACH
Zip Code 90805

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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