1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Community Behavioral Health
  6. NPI Profile

EXODUS MLK UCC
NPI 1366870941
Community/Behavioral Health in Los Angeles, CA

Active since October 17, 2013
12021 S WILMINGTON AVE, LOS ANGELES, CA 90059(310) 945-3350(310) 840-7023 Get Directions Write a Review

NPPES record last updated: June 4, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Exodus Mlk Ucc NPPES

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

EXODUS MLK UCC (NPI 1366870941) is a healthcare organization registered as a community/behavioral health in Los Angeles, California and active in the NPI registry since October 2013. The organization lists Leeann Skorohod, Sr Vp Operations, as its authorized official.

NPPES Registry Identity

NPI1366870941
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameEXODUS FOUNDATION FOR RECOVERY
Location Address12021 S WILMINGTON AVELos Angeles, CA 90059-3019
Mailing Address9808 Venice Blvd, Suite 700Culver City, CA 90232-2732 · (310) 945-3350 · Fax (310) 840-7023
Phone(310) 945-3350
Fax(310) 840-7023
Organization SubpartNo
Authorized OfficialLeeann SkorohodSr Vp Operations · (310) 945-3350
Enumeration DateOctober 17, 2013
Last NPPES UpdateJune 4, 2014
✔ NPI 1366870941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
12021 S WILMINGTON AVE, Los Angeles, CA 90059
Open in Google Maps ↗

Other Names 1

Other NameExodus Mlk Ucc

Other Identifiers 1

Other00527Legal Entity Number

Other Providers at the Same Location NPPES 12

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

JENELLE L CALVEZ
Registered Nurse (Addiction (Substance Use Disorder))
12021 S WILMINGTON AVE, BUILDING 18, SUITE 101
LOS ANGELES, CA 90059
Los Angeles County (424) 454-6001
MR. BRIAN MOSLEY
Counselor (Addiction (Substance Use Disorder))
12021 S WILMINGTON AVE, BLDG 18, STE 301
LOS ANGELES, CA 90059
Los Angeles County (424) 454-6081
TATIANA ERICKA RODRIGUEZ
Peer Specialist
12021 S WILMINGTON AVE, BUILDING 18 SUITE 5A
LOS ANGELES, CA 90059
Los Angeles County (424) 454-5530
HAYLY VARGAS
Community Health Worker
12021 S WILMINGTON AVE, BUILDING 18, SUITE. 300
LOS ANGELES, CA 90059
Los Angeles County (424) 454-6041
EXODUS FOUNDATION
Community/Behavioral Health
12021 S WILMINGTON AVE, 2ND FLOOR IC1-IC7
LOS ANGELES, CA 90059
Los Angeles County (562) 295-5916
LEONARDO JOSE REYNOSO DEL CID RN
Registered Nurse
12021 S WILMINGTON AVE, BUILDING 18, SUITE 101
LOS ANGELES, CA 90059
Los Angeles County (424) 454-6001
STEVEN DEAN CADC II
Counselor (Professional)
12021 S WILMINGTON AVE, BUILDING 18 SUITE 300
LOS ANGELES, CA 90059
Los Angeles County (424) 454-6042
MR. MARLON BUTLER PA
Physician Assistant
12021 S WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (310) 668-4515

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 Exodus Foundation For Recovery's NPI number?

The NPI number for Exodus Foundation For Recovery is 1366870941. It was assigned to this organization in the NPPES registry on October 17, 2013. The provider is also known as Exodus Mlk Ucc.

Where is Exodus Foundation For Recovery located?

Exodus Foundation For Recovery is located at 12021 S Wilmington Ave, Los Angeles, CA 90059. The listed phone number is (310) 945-3350.

What is Exodus Foundation For Recovery's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Exodus Foundation For Recovery was last updated on June 4, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.