RESTORE HEALTH AND WELLNESS CENTER LLC
NPI 1114637774
Substance Abuse Rehabilitation Facility in Los Angeles, CA

Active since December 05, 2022
4323 COOLIDGE AVE, LOS ANGELES, CA 90066(818) 946-2772 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 17, 2023, Dec 5, 2022 (2 updates tracked since 2022).

About Restore Health And Wellness Center Llc NPPES

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

RESTORE HEALTH AND WELLNESS CENTER LLC (NPI 1114637774) is a healthcare organization registered as a substance abuse rehabilitation facility in Los Angeles, California and active in the NPI registry since December 2022. The organization lists Eric J Leon, Coo, as its authorized official.

NPPES Registry Identity

NPI1114637774
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameRESTORE HEALTH AND WELLNESS CENTER LLC
Location Address4323 COOLIDGE AVELos Angeles, CA 90066
Mailing Address6918 Owensmouth AveCanoga Park, CA 91303-2003 · (818) 946-2772
Organization SubpartYes
Authorized OfficialEric J LeonCoo · (954) 641-5366
Enumeration DateDecember 5, 2022
Last NPPES UpdateAugust 17, 20232 updates tracked since enumeration
NPPES CertifiedAugust 17, 2023
NPI 1114637774 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.

4323 COOLIDGE AVE, Los Angeles, CA 90066

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Assisted Living Facility
4323 COOLIDGE AVE
LOS ANGELES, CA 90066

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 Restore Health And Wellness Center LLC's NPI number?

The NPI number for Restore Health And Wellness Center LLC is 1114637774. It was assigned to this organization in the NPPES registry on December 5, 2022.

Where is Restore Health And Wellness Center LLC located?

Restore Health And Wellness Center LLC is located at 4323 Coolidge Ave, Los Angeles, CA 90066. The listed phone number is (818) 946-2772.

What is Restore Health And Wellness 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 Restore Health And Wellness Center LLC was last updated on August 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.