Provider Demographics
NPI:1326787870
Name:VANITY WELLNESS CENTER INCORPORATED
Entity Type:Organization
Organization Name:VANITY WELLNESS CENTER INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:AKOPYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-454-5112
Mailing Address - Street 1:19935 VENTURA BLVD FL 1
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-9605
Mailing Address - Country:US
Mailing Address - Phone:818-454-5112
Mailing Address - Fax:
Practice Address - Street 1:5459 LUBAO AVE
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-2608
Practice Address - Country:US
Practice Address - Phone:818-454-5112
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VANITY WELLNESS CENTER INCORPORATED
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-06-02
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility