Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Victory Bay Residential Services I, LLC

Organization Health Service Clinic/Center · NPI 1609630276

Victory Bay Residential Services I, LLC is a Health Service Clinic/Center in Tarzana, California. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

19667 Trull Brook Dr
Tarzana, CA 91356-5630
Phone: (856) 282-2028
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Service Clinic/Center (primary) Taxonomy 261QH0100X

Record details

NPI number1609630276
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Mellon — Director Regulatory Compliance · (856) 282-5590
NPI enumeratedFebruary 13, 2024
Last updated in NPPESSeptember 17, 2024
Certification dateSeptember 17, 2024
Mailing address2940 Summit St Ste 2d, Oakland, CA 94609-3416

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