National Provider Identifier Database

CALIFORNIA DETOX RECOVERY CENTER
Substance Abuse Disorder Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.


Contact Information

CALIFORNIA DETOX & RECOVERY CENTER
1237 S WILTON PL
LOS ANGELES, CA90019-3542
Phone: 310-990-4037
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X
Rehabilitation, Substance Use Disorder 261QR0405X

* Indicates primary specialty

NPI Profile & details for CALIFORNIA DETOX & RECOVERY CENTER

NPI Number 1215758438
Legal business name
LBN
CALIFORNIA DETOX & RECOVERY CENTER
Authorized official FRANK LARRAZALETA - (CEO)
Entity Organization
Organization subpart No
Enumeration date 10/21/2024
Last updated 05/07/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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