Los Angeles Rehab & Detox
NPI #1073498630 in North Hollywood, California
Provider Information
- NPI Number
- 1073498630
- Entity Type
- Organization
- Organization Name
- Los Angeles Rehab & Detox
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Aug 11, 2025
- Last Updated
- Aug 11, 2025
Practice Location
- Address
- 11853 BLYTHE ST
- City
- North Hollywood
- State
- California
- ZIP Code
- 91605-2506
- Phone
- (626) 348-9144
Authorized Official
- Name
- MR. MICHAEL WONDIMU
- Title
- CEO
- Phone
- (626) 348-9144
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
| Substance Abuse Rehabilitation Facility |
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