TARZANA TREATMENT CENTERS, INC. (NPI# 1710012455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710012455 |
| Entity Type | Organization |
| Organization Name | TARZANA TREATMENT CENTERS, INC. |
| Practice Address |
2101 Magnolia Ave Long Beach CA 90806-4521 |
| Mailing Address |
18646 Oxnard St Tarzana CA 91356-1411 |
| Practice Telephone | 8189961051 |
| Mailing Telephone | 8189961051 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2017-05-04 |
| Authorized Official Name | JIM SORG (COO) |
| Authorized Official Telephone | 8189961051 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 190085BN | CA | Residential Treatment Facilities |
| 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 |
| 1003941683 | Tarzana Treatment Centers, Inc. | Pharmacy | 5190 Atlantic Ave, Long Beach, CA 90805-6510 | 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 |
| Street Address |
2101 MAGNOLIA AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806-4521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475953 | Angelynn Marin | Counselor | 2101 Magnolia Ave, Long Beach, CA 90806-4521 | 2020-10-19 |
| 1265058762 | Robert Glenn Alvarez Sr. | Counselor | 2101 Magnolia Ave, Long Beach, CA 90806-4521 | 2020-06-19 |
| 1023646148 | Melina Dove Adair | Counselor | 2101 Magnolia Ave, Long Beach, CA 90806-4521 | 2020-04-01 |
| 1952937641 | Kimberly Snow | Counselor | 2101 Magnolia Ave, Long Beach, CA 90806-4521 | 2020-03-13 |
| 1417588732 | Qiseana A Gomes | Counselor | 2101 Magnolia Ave, Long Beach, CA 90806-4521 | 2020-01-27 |
| 1356980338 | Latausha Wynona Jones | Community Health Worker | 2101 Magnolia Ave, Long Beach, CA 90806-4521 | 2019-12-23 |
| 1093354029 | Tanesha Johnson | Student in an Organized Health Care Education/Training Program | 2101 Magnolia Ave, Long Beach, CA 90806-4521 | 2019-12-20 |
| 1881231777 | Doreen Shawntell Lee | Counselor | 2101 Magnolia Ave, Long Beach, CA 90806-4521 | 2019-12-10 |
| 1902454093 | Scott Anthony Persson | Counselor | 2101 Magnolia Ave, Long Beach, CA 90806-4521 | 2019-08-31 |
| 1033767801 | Jayna Lea Zimmelman | Substance Abuse Rehabilitation Facility | 2101 Magnolia Ave, Long Beach, CA 90806-4521 | 2019-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437624913 | Blanca C Gonzalez | Community Health Worker | 2600 Redondo Ave 6th Floor, Long Beach, CA 90806 | 2018-10-10 |
| 1780192740 | New Healthcare Supplies Inc | Durable Medical Equipment & Medical Supplies | 1001 E Pacific Coast Hwy Ste 117, Long Beach, CA 90806 | 2018-01-11 |
| 1265946586 | California Sleep Neurology Organization for Wellness | Clinic/Center | 2651 Elm Avenue, Suite 205, Long Beach, CA 90806 | 2017-11-22 |
| 1053820613 | Magnolia Cedeno-moreno | Counselor | 2600 Redondo Ave. 3rd Fl, Long Beach, CA 90806 | 2017-09-27 |
| 1144747569 | Kimberly Savanannah Rodriguez | Social Worker | 2600 Redondo Ave., 6th Floor, Long Beach, CA 90806 | 2017-08-25 |
| 1194257170 | Sarah Mahmood | Pediatrics | The Children's Clinic, 2360 Pacific Ave, Long Beach, CA 90806 | 2017-03-29 |
| 1801334784 | Denise Harbor | Student in an Organized Health Care Education/Training Program | 721 East 28th Street, Suite 401, Long Beach, CA 90806 | 2017-02-10 |
| 1083152839 | Kim Vu | Student in an Organized Health Care Education/Training Program | 701 East 28th Street Ste. 416, Long Beach, CA 90806 | 2017-02-01 |
| 1568910719 | Andrea Corona | Community Health Worker | 850 W Wardlow Rd, Long Beach, CA 90806 | 2016-09-16 |
| 1235589110 | Sarah Keihany-yazdy | Nurse Practitioner | 2000 San Gabriel Ave, Long Beach, CA 90806 | 2016-06-21 |
| Find all providers in zip 90806 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90806 |
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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.