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LEGACY HEALING CENTER CALIFORNIA LLC
NPI 1003699752
Substance Abuse Rehabilitation Facility in Los Angeles, CA

Active since August 16, 2023CLIA Certified · 13 labs
2321 CASTILIAN DR, LOS ANGELES, CA 90068(561) 308-0865 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 16, 2026, Oct 10, 2023, Aug 16, 2023 (3 updates tracked since 2023).

About Legacy Healing Center California Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEGACY HEALING CENTER CALIFORNIA LLC (NPI 1003699752) is a healthcare organization registered as a substance abuse rehabilitation facility in Los Angeles, California and active in the NPI registry since August 2023. The organization holds 13 active CLIA laboratory certificates, maintains 4 additional practice locations, and lists Damaris Gonzalez, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1003699752
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameLEGACY HEALING CENTER CALIFORNIA LLC
Location Address2321 CASTILIAN DRLos Angeles, CA 90068-2614
Mailing Address4700 Exchange Ct Ste 185Boca Raton, FL 33431-4000 · (561) 308-0865
Phone(561) 308-0865
Organization SubpartNo
Authorized OfficialDamaris GonzalezDirector Of Operations · (561) 308-0865
Enumeration DateAugust 16, 2023
Last NPPES UpdateApril 16, 20263 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
✔ NPI 1003699752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
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.
2321 CASTILIAN DR, Los Angeles, CA 90068
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Secondary Practice Locations 4

Location 12457 Solar DrLos Angeles, CA 90046-1740 · Phone (561) 308-0865
Location 26519 Cleon AveNorth Hollywood, CA 91606-2707 · Phone (800) 808-4570
Location 32462 Solar DrLos Angeles, CA 90046-1741 · Phone (561) 308-0865
Location 42366 Astral DrLos Angeles, CA 90046-1702 · Phone (561) 308-0865

CLIA Laboratory Certificates CMS CLIA 13

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2312123

Legacy Healing Center California, LLC · Los Angeles, CA
Active · expires Oct 3, 2026
CLIA Number05D2312123
Laboratory TypeSud Treatment
Certificate Effective DateOctober 4, 2024
Certificate Expiration DateOctober 3, 2026
Laboratory DirectorEric Chaghouri
Laboratory Phone(561) 308-0865
Laboratory LocationLegacy Healing Center California, LLC2462 Solar Drive, Los Angeles, CA 90046
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2310573

Legacy Healing Center California, LLC · Los Angeles, CA
Active · expires Sep 4, 2026
CLIA Number05D2310573
Laboratory TypeSud Treatment
Certificate Effective DateSeptember 5, 2024
Certificate Expiration DateSeptember 4, 2026
Laboratory DirectorEric Chaghouri
Laboratory Phone(561) 308-0865
Laboratory LocationLegacy Healing Center California, LLC2457 Solar Drive, Los Angeles, CA 90046
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2310035

Legacy Healing Center California · Los Angeles, CA
Active · expires Aug 25, 2026
CLIA Number05D2310035
Laboratory TypeResidential Sud Treatment
Certificate Effective DateAugust 26, 2024
Certificate Expiration DateAugust 25, 2026
Laboratory DirectorEric Chaghouri
Laboratory Phone(561) 308-0865
Laboratory LocationLegacy Healing Center California2366 Astral Dr, Los Angeles, CA 90046
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2321520

Legacy Healing Center California, LLC · N Hollywood, CA
Active · expires Apr 3, 2027
CLIA Number05D2321520
Laboratory TypeSud Resident Treatment
Certificate Effective DateApril 4, 2025
Certificate Expiration DateApril 3, 2027
Laboratory DirectorEric Chaghouri
Laboratory Phone(561) 308-0865
Laboratory LocationLegacy Healing Center California, LLC6519 1/2 Cleon Ave, N Hollywood, CA 91606
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2320430

Legacy Healing Center California, LLC · N Hollywood, CA
Active · expires Mar 17, 2027
CLIA Number05D2320430
Laboratory TypeSud Residential Treatment
Certificate Effective DateMarch 18, 2025
Certificate Expiration DateMarch 17, 2027
Laboratory DirectorEric Chaghouri
Laboratory Phone(561) 308-0865
Laboratory LocationLegacy Healing Center California, LLC6521 Cleon Ave, N Hollywood, CA 91606
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2320465

Legacy Healing Center California, LLC · N Hollywood, CA
Active · expires Mar 17, 2027
CLIA Number05D2320465
Laboratory TypeSud Residential Treatment
Certificate Effective DateMarch 18, 2025
Certificate Expiration DateMarch 17, 2027
Laboratory DirectorEric Chaghouri
Laboratory Phone(561) 308-0865
Laboratory LocationLegacy Healing Center California, LLC6519 Cleon Ave, N Hollywood, CA 91606
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Legacy Healing Center California LLC's NPI number?

The NPI number for Legacy Healing Center California LLC is 1003699752. It was assigned to this organization in the NPPES registry on August 16, 2023.

Where is Legacy Healing Center California LLC located?

Legacy Healing Center California LLC is located at 2321 Castilian Dr, Los Angeles, CA 90068. The listed phone number is (561) 308-0865.

What is Legacy Healing Center California LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Legacy Healing Center California LLC hold CLIA laboratory certificates?

Yes. 13 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Legacy Healing Center California LLC was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.