National Provider Identifier Database

CA DRUG 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

CA DRUG DETOX LLC
3839 SUNBEAM DR
LOS ANGELES, CA90065-3501
Phone: 747-326-0003
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X
Rehabilitation, Substance Use Disorder 261QR0405X

* Indicates primary specialty

NPI Profile & details for CA DRUG DETOX LLC

NPI Number 1447032792
Legal business name
LBN
CA DRUG DETOX LLC
Authorized official ALEXANDER GEVORGYAN - (CFO)
Entity Organization
Organization subpart No
Enumeration date 10/19/2023
Last updated 06/10/2024 - 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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