National Provider Identifier Database

LOS ANGELES DETOX LLC
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

LOS ANGELES DETOX LLC
522 N LARCHMONT BLVD
LOS ANGELES, CA90004-1306
Phone: 562-912-0291
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for LOS ANGELES DETOX LLC

NPI Number 1346636537
Legal business name
LBN
LOS ANGELES DETOX LLC
Authorized official KEITH FOWLER - (CEO)
Entity Organization
Organization subpart No
Enumeration date 04/14/2015
Last updated 04/14/2015 - About 11 years 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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