LOS ANGELES DETOX LLC
NPI 1154906220
Substance Abuse Rehabilitation Facility in Tarzana, CA
About Los Angeles Detox Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LOS ANGELES DETOX LLC (NPI 1154906220), doing business as Detox La, is a healthcare organization registered as a substance abuse rehabilitation facility in Tarzana, California and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through September 8, 2026 and lists Yosef Grossman, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 05D2268383
Los Angeles Detox LLC · Tarzana, CAFrequently 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 Los Angeles Detox LLC's NPI number?
The NPI number for Los Angeles Detox LLC is 1154906220. It was assigned to this organization in the NPPES registry on March 10, 2021. The provider is doing business as Detox LA.
Where is Los Angeles Detox LLC located?
Los Angeles Detox LLC is located at 5537 Sylvia Ave, Tarzana, CA 91356. The listed phone number is (310) 795-0542.
What is Los Angeles Detox LLC's specialty?
The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
Does Los Angeles Detox LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2268383) is associated with this NPI, valid through September 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Los Angeles Detox LLC was last updated on August 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Los Angeles Detox Llc · NPI 1154906220
Substance Abuse Rehabilitation Facility organization in Tarzana, California. Organization record, active in the CMS NPPES registry since March 10, 2021.
## Identity
- **NPI:** 1154906220 (Entity type: Organization)
- **Enumerated:** March 10, 2021
- **Primary specialty:** Substance Abuse Rehabilitation Facility · taxonomy 324500000X
- **Also known as:** Detox LA (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Yosef Grossman, CEO
## Practice location
- **Address:** 5537 SYLVIA AVE, Tarzana, CA 91356-3119
- **Phone:** (310) 795-0542
## Record status
- **NPPES last updated:** August 31, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1154906220) · Data from the CMS NPPES public registry.