Provider Demographics
NPI:1104129618
Name:TARZAN TREATMENT CENTERS
Entity type:Organization
Organization Name:TARZAN TREATMENT CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARENT PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANAYANZI
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-996-1051
Mailing Address - Street 1:18700 OXNARD ST
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-1413
Mailing Address - Country:US
Mailing Address - Phone:818-996-1051
Mailing Address - Fax:818-709-6435
Practice Address - Street 1:18700 OXNARD ST
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-1413
Practice Address - Country:US
Practice Address - Phone:818-996-1051
Practice Address - Fax:818-709-6435
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-06
Last Update Date:2010-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA283X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital