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MAGNOLIA RECOVERY
NPI 1366101289
Substance Abuse Rehabilitation Facility in Valley Village, CA

Active since December 08, 2021
12406 MAGNOLIA BLVD, VALLEY VILLAGE, CA 91607(818) 232-7220(818) 217-1224 Get Directions Write a Review

NPPES record last updated: May 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2022, Feb 14, 2022, Dec 8, 2021 (3 updates tracked since 2021).

About Magnolia Recovery NPPES

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

MAGNOLIA RECOVERY (NPI 1366101289) is a healthcare organization registered as a substance abuse rehabilitation facility in Valley Village, California and active in the NPI registry since December 2021. The organization lists Gregory Mikitarian, Principal, as its authorized official.

NPPES Registry Identity

NPI1366101289
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameMAGNOLIA RECOVERY, LLC.
Location Address12406 MAGNOLIA BLVDValley Village, CA 91607-2415
Mailing Address12406 Magnolia BlvdValley Village, CA 91607-2415 · (818) 232-7220 · Fax (818) 217-1224
Phone(818) 232-7220
Fax(818) 217-1224
Organization SubpartNo
Authorized OfficialGregory MikitarianPrincipal · (818) 796-4311
Enumeration DateDecember 8, 2021
Last NPPES UpdateMay 18, 20223 updates tracked since enumeration
NPPES CertifiedMay 18, 2022
✔ NPI 1366101289 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.
12406 MAGNOLIA BLVD, Valley Village, CA 91607
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Other Names 1

Doing Business AsMagnolia Recovery

Other Providers at the Same Location NPPES

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

STUDIO 12
Substance Abuse Rehabilitation Facility
12406 MAGNOLIA BLVD
VALLEY VILLAGE, CA 91607
Los Angeles County (818) 761-7374

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 Magnolia Recovery, LLC.'s NPI number?

The NPI number for Magnolia Recovery, LLC. is 1366101289. It was assigned to this organization in the NPPES registry on December 8, 2021. The provider is doing business as Magnolia Recovery.

Where is Magnolia Recovery, LLC. located?

Magnolia Recovery, LLC. is located at 12406 Magnolia Blvd, Valley Village, CA 91607. The listed phone number is (818) 232-7220.

What is Magnolia Recovery, 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 Magnolia Recovery, LLC. was last updated on May 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.