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LIVE OAK CALIFORNIA LLC
NPI 1205712700
Substance Abuse Rehabilitation Facility in Woodland Hills, CA

Active since August 12, 2025CLIA 05D2335028 · Waiver
22839 DOLOROSA ST, WOODLAND HILLS, CA 91367(877) 716-4464 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Live Oak California Llc NPPES

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

LIVE OAK CALIFORNIA LLC (NPI 1205712700) is a healthcare organization registered as a substance abuse rehabilitation facility in Woodland Hills, California and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through December 3, 2027 and lists Haley Neeley, President, as its authorized official.

NPPES Registry Identity

NPI1205712700
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameLIVE OAK CALIFORNIA LLC
Location Address22839 DOLOROSA STWoodland Hills, CA 91367-4320
Mailing Address2200 N Florida Mango Rd Ste 301West Palm Beach, FL 33409-6449 · (877) 716-4464
Phone(877) 716-4464
Organization SubpartNo
Authorized OfficialHaley NeeleyPresident · (877) 716-4464
Enumeration DateAugust 12, 2025
NPPES CertifiedAugust 12, 2025
✔ NPI 1205712700 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.
22839 DOLOROSA ST, Woodland Hills, CA 91367
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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 05D2335028

Live Oak California LLC · Woodland Hills, CA
Active · expires Dec 3, 2027
CLIA Number05D2335028
Laboratory TypeMedical Detox Center
Certificate Effective DateDecember 4, 2025
Certificate Expiration DateDecember 3, 2027
Laboratory DirectorEric Chaghouri
Laboratory Phone(561) 531-0334
Laboratory LocationLive Oak California LLC22839 Dolorosa St, Woodland Hills, CA 91367
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

PETRA WELLNESS, INC
Substance Abuse Rehabilitation Facility
22839 DOLOROSA ST
WOODLAND HILLS, CA 91367
Los Angeles County (918) 964-3632

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 Live Oak California LLC's NPI number?

The NPI number for Live Oak California LLC is 1205712700. It was assigned to this organization in the NPPES registry on August 12, 2025.

Where is Live Oak California LLC located?

Live Oak California LLC is located at 22839 Dolorosa St, Woodland Hills, CA 91367. The listed phone number is (877) 716-4464.

What is Live Oak California LLC's specialty?

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

Does Live Oak California LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2335028) is associated with this NPI, valid through December 3, 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 Live Oak California LLC was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.