OrganizationActive
Aegis Treatment Centers, LLC
NPI 1679919419 · Methadone Clinic · Inglewood, CA
Provider details
- NPI number
- 1679919419
- Entity type
- Organization
- Primary specialty
- Methadone ClinicAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Denise Winant, Credentialing Supervisor(732) 570-0268
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
614 W Manchester Blvd
#104
Inglewood, CA 90301-1656
Phone: (310) 412-0879
Approximate (ZIP-level) locationGet directions
Mailing address
7246 Remmet Ave
Canoga Park, CA 91303-1531
Registry dates
- Enumerated
- 2013-05-20
- Last updated
- 2023-03-13
- Certified
- 2023-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.