SOBER DISTRICT INC
NPI 1023514957
Clinic/Center - Rehabilitation, Substance Use Disorder in Van Nuys, CA
Active since March 31, 2018
About Sober District Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOBER DISTRICT INC (NPI 1023514957) is a healthcare organization registered as a rehabilitation, substance use disorder in Van Nuys, California and active in the NPI registry since March 2018. The organization lists Tigran Mamikonyan, Ceo, as its authorized official.
NPPES Registry Identity
NPI1023514957
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameSOBER DISTRICT INC
Location Address6628 VAN NUYS BLVDVan Nuys, CA 91405-4617
Mailing Address6628 Van Nuys BlvdVan Nuys, CA 91405-4617
Phone(213) 364-8065
Organization SubpartNo
Authorized OfficialTigran MamikonyanCeo · (818) 859-3568
Enumeration DateMarch 31, 2018
Last NPPES UpdateOctober 31, 20182 updates tracked since enumeration
✔ NPI 1023514957 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
6628 VAN NUYS BLVD, Van Nuys, CA 91405
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023514957, enumerated as an "organization" on March 31, 2018.
The provider is located at 6628 VAN NUYS BLVD VAN NUYS, CA 91405 and the phone number is (213) 364-8065.
Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.
