AVEDIS DETOX INC. (NPI# 1124666334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124666334 |
| Entity Type | Organization |
| Organization Name | AVEDIS DETOX INC. |
| Practice Address |
4945 Lindley Ave Tarzana CA 91356-4319 |
| Practice Telephone | 3237087500 |
| Mailing Telephone | 3237087500 |
| Enumeration Date | 2019-12-18 |
| Last Update Date | 2019-12-18 |
| Authorized Official Name | GEORGE SARKIS DEGIRMENDJIAN (CEO) |
| Authorized Official Telephone | 3237087500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
4945 LINDLEY AVE |
| City | TARZANA |
| State | CA |
| Zip Code | 91356-4319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679137293 | Sarah Badreau | Behavior Technician | 5554 Reseda Blv., Tarzana, CA 91356 | 2019-04-29 |
| 1831661966 | Daraie Dental Group Inc | Dentist | 5620 Wilbur Avenue Ste 300, Tarzana, CA 91356 | 2018-12-31 |
| 1982182770 | Blanca Garay | Respiratory Therapist, Registered | 18214 Burbank Blvd Apt 120, Tarzana, CA 91356 | 2018-08-02 |
| 1437659000 | Chloe Kang | Speech-Language Pathologist | 19019 Ventura Blvd., Tarzana, CA 91356 | 2018-02-20 |
| 1114430139 | Avb & Lv Corporation | Home Health | 18340 Ventura Blvd Ste 220, Tarzana, CA 91356 | 2017-11-13 |
| 1881110468 | Samina Qadir | Registered Nurse | 18321 Clark St., Tarzana, CA 91356 | 2017-08-16 |
| 1700306776 | Debbie Rehman Lux | Marriage & Family Therapist | 18370 Burbank Blvd., Suite 211, Tarzana, CA 91356 | 2017-06-21 |
| 1467980631 | Valley Nerological Services, LLC | Radiology | 5260 Wilbur Ave Ste 207, Tarzana, CA 91356 | 2017-05-31 |
| 1669906020 | Evolve Growth Initiatives LLC | Clinic/Center | 5435 Aura Avenue, Tarzana, CA 91356 | 2017-04-12 |
| 1780130088 | Evolve Growth Initiatives, LLC | Clinic/Center | 5358 Vanalden Drive, Tarzana, CA 91356 | 2016-08-28 |
| Find all providers in zip 91356 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922623040 | West Valley Detox Treatment | Substance Abuse Rehabilitation Facility | 18841 Pasadero Dr, Tarzana, CA 91356-5224 | 2020-06-15 |
| 1750929923 | West Health Inc. | Substance Abuse Rehabilitation Facility | 4725 Vanalden Ave, Tarzana, CA 91356-5036 | 2019-12-18 |
| 1770126849 | Vogue Recovery California, LLC | Substance Abuse Rehabilitation Facility | 4960 Vanalden Ave, Tarzana, CA 91356-4718 | 2019-10-22 |
| 1275002743 | 7 Star Recovery LLC | Substance Abuse Rehabilitation Facility | 4709 Caritina Dr, Tarzana, CA 91356-5010 | 2018-11-14 |
| 1629552542 | Nautilus Recovery Group, Inc | Substance Abuse Rehabilitation Facility | 5803 Corbin Ave, Tarzana, CA 91356-1004 | 2018-09-17 |
| 1356846786 | Real Estate Holiday Rentals Booking Worldwide, LLC | Substance Abuse Rehabilitation Facility | 6040 Calvin Ave, Tarzana, CA 91356-1115 | 2018-03-27 |
| 1124572706 | Peace By Piece Treatment Center Inc | Substance Abuse Rehabilitation Facility | 5343 Shirley Ave, Tarzana, CA 91356-2908 | 2016-08-11 |
| 1902237209 | Active Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 6316 Etiwanda Ave, Tarzana, CA 91335-7032 | 2013-12-12 |
| 1104443779 | Cmj Recovery Ca LLC | Substance Abuse Rehabilitation Facility | 4960 Vanalden Ave, Tarzana, CA 91356-4718 | 2020-06-30 |
| 1477040772 | System 3 Recovery, Inc. | Substance Abuse Rehabilitation Facility | 5343 Shirley Ave, Tarzana, CA 91356 | 2018-04-23 |
| Find all providers in TARZANA | ||||
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| 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.