LA FUENTE HOLLYWOOD TREATMENT CENTER OUTPATIENT
NPI 1083101661
Substance Abuse Rehabilitation Facility in Los Angeles, CA

Active since April 18, 2018
1601 N GOWER ST # 101, LOS ANGELES, CA 90028(323) 464-2947 Get Directions Write a Review

NPPES record last updated: April 18, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About La Fuente Hollywood Treatment Center Outpatient NPPES

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

LA FUENTE HOLLYWOOD TREATMENT CENTER OUTPATIENT (NPI 1083101661) is a healthcare organization registered as a substance abuse rehabilitation facility in Los Angeles, California and active in the NPI registry since April 2018. The organization lists Manuel Rodriguez, Ceo, as its authorized official.

NPPES Registry Identity

NPI1083101661
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameLA FUENTE HOLLYWOOD TREATMENT CENTER LLC
Location Address1601 N GOWER ST # 101Los Angeles, CA 90028-7596
Mailing Address5718 Fountain AveLos Angeles, CA 90028-8516 · (323) 464-2947
Organization SubpartYes
Authorized OfficialManuel RodriguezCeo · (323) 464-2947
Enumeration DateApril 18, 2018
NPI 1083101661 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.
1601 N GOWER ST # 101, Los Angeles, CA 90028

Other Names 1

Doing Business AsLa Fuente Hollywood Treatment Center Outpatient

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 1083101661. It was assigned to this organization in the NPPES registry on April 18, 2018. The provider is doing business as La Fuente Hollywood Treatment Center Outpatient.

Where is La Fuente Hollywood Treatment Center LLC located?

La Fuente Hollywood Treatment Center LLC is located at 1601 N Gower St # 101, 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.

When was this NPI record last updated?

The NPPES record for La Fuente Hollywood Treatment Center LLC was last updated on April 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.