LA FUENTE HOLLYWOOD TREATMENT CENTER
NPI 1073887329
Substance Abuse Rehabilitation Facility in Los Angeles, CA

Q: What is La Fuente Hollywood Treatment Center LLC's specialty?

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

Active since March 05, 2012CLIA 05D2064248 · Waiver

5718 FOUNTAIN AVE, LOS ANGELES, CA 90028(323) 464-2947(323) 366-9339 Get Directions Write a Review

NPPES record last updated: March 5, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About La Fuente Hollywood Treatment Center NPPES

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

LA FUENTE HOLLYWOOD TREATMENT CENTER (NPI 1073887329) is a healthcare organization registered as a substance abuse rehabilitation facility in Los Angeles, California and active in the NPI registry since March 2012. The organization holds a CLIA Waiver certificate valid through August 15, 2027 and lists Manuel Rodriguez, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1073887329

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameLA FUENTE HOLLYWOOD TREATMENT CENTER LLC

Location Address5718 FOUNTAIN AVELos Angeles, CA 90028-8516

Mailing Address5718 Fountain AveLos Angeles, CA 90028-8516 · (323) 464-2947 · Fax (323) 366-9339

Phone(323) 464-2947

Fax(323) 366-9339

Organization SubpartNo

Authorized OfficialManuel RodriguezExecutive Director · (323) 464-2947

Enumeration DateMarch 5, 2012

✔ NPI 1073887329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

License✔ Licensed in CA · 190725AP

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.

5718 FOUNTAIN AVE, Los Angeles, CA 90028

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Other Names 1

Doing Business AsLa Fuente Hollywood Treatment Center

CLIA Laboratory Certificates CMS CLIA

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 05D2064248

La Fuente Hollywood Treatment Center · Los Angeles, CA

Active · expires Aug 15, 2027

CLIA Number05D2064248

Laboratory TypeDrug Alcohol Treatment Ct

Certificate Effective DateAugust 16, 2025

Certificate Expiration DateAugust 15, 2027

Laboratory DirectorRodney Collins

Laboratory Phone(323) 366-9339

Laboratory LocationLa Fuente Hollywood Treatment Center5718 Fountain Ave, Los Angeles, CA 90028

CLIA data matches this NPI record on: Address Name

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 La Fuente Hollywood Treatment Center LLC's NPI number?

The NPI number for La Fuente Hollywood Treatment Center LLC is 1073887329. It was assigned to this organization in the NPPES registry on March 5, 2012. The provider is doing business as La Fuente Hollywood Treatment Center.

Where is La Fuente Hollywood Treatment Center LLC located?

La Fuente Hollywood Treatment Center LLC is located at 5718 Fountain Ave, Los Angeles, CA 90028. The listed phone number is (323) 464-2947.

What is La Fuente Hollywood Treatment Center LLC's specialty?

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

Does La Fuente Hollywood Treatment Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2064248) is associated with this NPI, valid through August 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for La Fuente Hollywood Treatment Center LLC was last updated on March 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.