WHITE OAK RECOVERY CENTER LLC
NPI 1710513593
Substance Abuse Rehabilitation Facility in North Hollywood, CA
About White Oak Recovery Center Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WHITE OAK RECOVERY CENTER LLC (NPI 1710513593) is a healthcare organization registered as a substance abuse rehabilitation facility in North Hollywood, California and active in the NPI registry since March 2020. The organization holds a CLIA Waiver certificate valid through August 25, 2027, maintains 2 additional practice locations, and lists Dustin Johnson, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
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 05D2329299
White Oak Recovery Center LLC · Van Nuys, CAFrequently 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 White Oak Recovery Center LLC's NPI number?
The NPI number for White Oak Recovery Center LLC is 1710513593. It was assigned to this organization in the NPPES registry on March 12, 2020.
Where is White Oak Recovery Center LLC located?
White Oak Recovery Center LLC is located at 7838 Vantage Ave, North Hollywood, CA 91605. The listed phone number is (704) 450-2117.
What is White Oak Recovery Center LLC's specialty?
The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
Does White Oak Recovery Center LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2329299) is associated with this NPI, valid through August 25, 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 White Oak Recovery Center LLC was last updated on November 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# White Oak Recovery Center Llc · NPI 1710513593
Substance Abuse Rehabilitation Facility organization in North Hollywood, California. Organization record, active in the CMS NPPES registry since March 12, 2020.
## Identity
- **NPI:** 1710513593 (Entity type: Organization)
- **Enumerated:** March 12, 2020
- **Primary specialty:** Substance Abuse Rehabilitation Facility · taxonomy 324500000X
- **Organization subpart:** No
- **Authorized official:** Dustin Johnson, CEO
## Practice location
- **Address:** 7838 VANTAGE AVE, North Hollywood, CA 91605-2408
- **Phone:** (704) 450-2117
## Record status
- **NPPES last updated:** November 27, 2024
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1710513593) · Data from the CMS NPPES public registry.