MELROSE RECOVERY, LLC.
NPI 1053884775
Substance Abuse Rehabilitation Facility in Los Angeles, CA

Active since January 04, 2019
1253 N COMMONWEALTH AVE, LOS ANGELES, CA 90029(714) 970-0036(714) 970-1965 Get Directions Write a Review

NPPES record last updated: June 26, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Substance Abuse Rehabilitation Facility

About MELROSE RECOVERY, LLC.

This page provides the complete NPI Profile along with additional information for Melrose Recovery, Llc., a provider established in Los Angeles, California operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1053884775 assigned on January 2019. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Walt Ybarra (Ceo)

NPI
1053884775 Verify this NPI
Provider Name
MELROSE RECOVERY, LLC.
Entity Type
Organization
Location Address
1253 N COMMONWEALTH AVE LOS ANGELES, CA 90029
Location Phone
(714) 970-0036
Location Fax
(714) 970-1965
Mailing Address
1247 N LAKEVIEW AVE, STE#B ANAHEIM, CA 92807
Mailing Phone
(714) 970-0036
Mailing Fax
(714) 970-1965
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-04-2019
Last Update Date
06-26-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

WALT YBARRA

Authorized Official Title
CEO
Authorized Official Phone
(714) 970-0036

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Substance Abuse Rehabilitation Facility
1253 N COMMONWEALTH AVE
LOS ANGELES, CA 90029

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053884775, enumerated as an "organization" on January 04, 2019.

The provider is located at 1253 N COMMONWEALTH AVE LOS ANGELES, CA 90029 and the phone number is (714) 970-0036.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.