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AMERICAN RIVIERA LLC
NPI 1558936419
Substance Abuse Rehabilitation Facility in Los Angeles, CA

Active since May 24, 2021CLIA 05D2247356 · Waiver
12114 VENICE BLVD, LOS ANGELES, CA 90066(310) 498-0102 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About American Riviera Llc NPPES

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

AMERICAN RIVIERA LLC (NPI 1558936419), doing business as Mission Harbor Behavioral Health, is a healthcare organization registered as a substance abuse rehabilitation facility in Los Angeles, California and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Stephanie Dekin, Cfo, as its authorized official.

NPPES Registry Identity

NPI1558936419
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameAMERICAN RIVIERA LLC
Location Address12114 VENICE BLVDLos Angeles, CA 90066-3812
Mailing Address13135 Lake StLos Angeles, CA 90066-2204 · (310) 498-0102
Phone(310) 498-0102
Organization SubpartNo
Authorized OfficialStephanie DekinCfo · (310) 498-0102
Enumeration DateMay 24, 2021
NPPES CertifiedMay 24, 2021
✔ NPI 1558936419 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.
12114 VENICE BLVD, Los Angeles, CA 90066
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Other Names 1

Doing Business AsMission Harbor Behavioral Health

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 05D2247356

American Riviera LLC · Los Angeles, CA
Active · expires Aug 31, 2028
CLIA Number05D2247356
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorRodney Collins
Laboratory Phone(310) 498-0102
Laboratory LocationAmerican Riviera LLC12114 Venice Boulevard, Los Angeles, CA 90066
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

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

MS. ELISA M ANGELONE L.AC
Acupuncturist
12114 VENICE BLVD
LOS ANGELES, CA 90066
Los Angeles County (415) 601-9605
JULIEANNE SEARLES
Marriage & Family Therapist
12114 VENICE BLVD
LOS ANGELES, CA 90066
Los Angeles County (310) 397-6001
DR. KATHLEEN LEWIS DC
Chiropractor
12114 VENICE BLVD
LOS ANGELES, CA 90066
Los Angeles County (310) 391-1452
CASEY MARIE SMITH L.AC., DIPL. AC.
Acupuncturist
12114 VENICE BLVD
LOS ANGELES, CA 90066
Los Angeles County (310) 399-5388
PINBOX ACUPUNCTURE
Acupuncturist
12114 VENICE BLVD
LOS ANGELES, CA 90066
Los Angeles County (415) 601-9605
MR. MAURY FOSTER RYAN LAC
Acupuncturist
12114 VENICE BLVD
LOS ANGELES, CA 90066
Los Angeles County (310) 390-7155
DR. WENDY ASHLEY LCSW, PSYD
Social Worker
12114 VENICE BLVD
LOS ANGELES, CA 90066
Los Angeles County (310) 200-3932
NAJLA KOREY BOSE L.AC
Acupuncturist
12114 VENICE BLVD
LOS ANGELES, CA 90066
Los Angeles County (310) 945-6879

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 American Riviera LLC's NPI number?

The NPI number for American Riviera LLC is 1558936419. It was assigned to this organization in the NPPES registry on May 24, 2021. The provider is doing business as Mission Harbor Behavioral Health.

Where is American Riviera LLC located?

American Riviera LLC is located at 12114 Venice Blvd, Los Angeles, CA 90066. The listed phone number is (310) 498-0102.

What is American Riviera LLC's specialty?

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

Does American Riviera LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2247356) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for American Riviera LLC was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.