NOVO DETOX
NPI 1194242966
Substance Abuse Rehabilitation Facility in Los Angeles, CA

Active since August 23, 2017
11346 THURSTON PL, LOS ANGELES, CA 90049(602) 430-7543 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Jul 17, 2020, Aug 23, 2017 (3 updates tracked since 2017).

About Novo Detox NPPES

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

NOVO DETOX (NPI 1194242966) is a healthcare organization registered as a substance abuse rehabilitation facility in Los Angeles, California and active in the NPI registry since August 2017. The organization lists Matthew Ziering, Cfo, as its authorized official.

NPPES Registry Identity

NPI1194242966
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameNOVO DETOX
Location Address11346 THURSTON PLLos Angeles, CA 90049-2429
Mailing Address10533 Washington BlvdCulver City, CA 90232-3311 · (310) 663-8890
Organization SubpartNo
Authorized OfficialMatthew ZieringCfo · (310) 663-8890
Enumeration DateAugust 23, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedJuly 17, 2020
NPI 1194242966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

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.

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedRehabilitation, Substance Use Disorder UnitTaxonomy 276400000X
11346 THURSTON PL, Los Angeles, CA 90049

Other Identifiers 1

Other190982APCA · State License

Other Providers at the Same Location NPPES

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

Substance Abuse Rehabilitation Facility
11346 THURSTON PL
LOS ANGELES, CA 90049

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194242966, enumerated as an "organization" on August 23, 2017.

The provider is located at 11346 THURSTON PL LOS ANGELES, CA 90049 and the phone number is (602) 430-7543.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.