1. Home
  2. Directory
  3. California
  4. Lake View Terrace
  5. Substance Abuse Rehabilitation Facility
  6. NPI Profile

PHOENIX HOUSES OF LOS ANGELES, INC.
NPI 1235283722
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Lake View Terrace, CA

Active since January 22, 2007CLIA 05D2285399 · Waiver
11600 ELDRIDGE AVE, LAKE VIEW TERRACE, CA 91342(818) 686-3000(818) 896-4859 Get Directions Write a Review

NPPES record last updated: July 5, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Phoenix Houses Of Los Angeles, Inc. NPPES

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

PHOENIX HOUSES OF LOS ANGELES, INC. (NPI 1235283722) is a healthcare organization registered as a substance abuse treatment, children in Lake View Terrace, California and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through July 10, 2027 and lists Shawna Morris, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1235283722
Entity TypeOrganization
Primary Taxonomy3245S0500X
Legal Business NamePHOENIX HOUSES OF LOS ANGELES, INC.
Location Address11600 ELDRIDGE AVELake View Terrace, CA 91342-6506
Mailing Address11600 Eldridge AveLake View Terrace, CA 91342-6506 · (818) 686-3000 · Fax (818) 897-1293
Phone(818) 686-3000
Fax(818) 896-4859
Organization SubpartNo
Authorized OfficialShawna MorrisChief Executive Officer · (818) 686-3000
Enumeration DateJanuary 22, 2007
Last NPPES UpdateJuly 5, 2016
✔ NPI 1235283722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenResidential Treatment Facilities
Taxonomy Code3245S0500X
License✔ Licensed in CA · 191222731
Definition
A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
11600 ELDRIDGE AVE, Lake View Terrace, CA 91342
Open in Google Maps ↗

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 05D2285399

Phoenix Houses Of Los Angeles, Inc · Lake View Terrace, CA
Active · expires Jul 10, 2027
CLIA Number05D2285399
Laboratory TypeSud Outpatient Treatment
Certificate Effective DateJuly 11, 2025
Certificate Expiration DateJuly 10, 2027
Laboratory DirectorRayek Nafiz
Laboratory Phone(818) 686-3112
Laboratory LocationPhoenix Houses Of Los Angeles, Inc11600 Eldridge Ave, Lake View Terrace, CA 91342
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 20

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

LEIGH ANN MARIE GREENFIELD MFTI
Counselor (Mental Health)
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA 91342
Los Angeles County (818) 686-3000
MICHAEL ANDREW TRUJILLO CADCII
Counselor (Addiction (Substance Use Disorder))
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA 91342
Los Angeles County (818) 686-3177
MR. PEDRAM MOSHFEGH MA
Marriage & Family Therapist
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA 91342
Los Angeles County (310) 913-3292
ORLI BEHBOUDIKHA
Student in an Organized Health Care Education/Training Program
11600 ELDRIDGE AVE
SYLMAR, CA 91342
Los Angeles County (818) 686-3000
JOCELYNE NAOMI DEL CID
Student in an Organized Health Care Education/Training Program
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA 91342
Los Angeles County (818) 868-3000
DAISY BARRERA
Social Worker (Clinical)
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA 91342
Los Angeles County (818) 686-3000
RENAE BARASSI
Student in an Organized Health Care Education/Training Program
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA 91342
Los Angeles County (888) 671-9392
WENDY XIOMARA HERNANDEZ ORELLANA
Peer Specialist
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA 91342
Los Angeles County (661) 361-6130

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 Phoenix Houses Of Los Angeles, Inc.'s NPI number?

The NPI number for Phoenix Houses Of Los Angeles, Inc. is 1235283722. It was assigned to this organization in the NPPES registry on January 22, 2007.

Where is Phoenix Houses Of Los Angeles, Inc. located?

Phoenix Houses Of Los Angeles, Inc. is located at 11600 Eldridge Ave, Lake View Terrace, CA 91342. The listed phone number is (818) 686-3000.

What is Phoenix Houses Of Los Angeles, Inc.'s specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

Does Phoenix Houses Of Los Angeles, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2285399) is associated with this NPI, valid through July 10, 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 Phoenix Houses Of Los Angeles, Inc. was last updated on July 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.