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ULTIMATE LIFESTYLE CENTER
NPI 1720344716
Clinic/Center - Rehabilitation, Substance Use Disorder in Los Angeles, CA

Active since April 04, 2012
5012 S LA BREA AVE, LOS ANGELES, CA 90056(323) 290-0200 Get Directions Write a Review

NPPES record last updated: April 4, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ultimate Lifestyle Center NPPES

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

ULTIMATE LIFESTYLE CENTER (NPI 1720344716) is a healthcare organization registered as a rehabilitation, substance use disorder in Los Angeles, California and active in the NPI registry since April 2012. The organization lists Masha Lisitsa, Ceo, as its authorized official.

NPPES Registry Identity

NPI1720344716
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameULTIMATE LIFESTYLE CENTER
Location Address5012 S LA BREA AVELos Angeles, CA 90056-1863
Mailing Address5012 S La Brea AveLos Angeles, CA 90056-1863 · (323) 290-0200
Phone(323) 290-0200
Organization SubpartNo
Authorized OfficialMasha LisitsaCeo · (323) 290-0200
Enumeration DateApril 4, 2012
✔ NPI 1720344716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
5012 S LA BREA AVE, Los Angeles, CA 90056
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Other Providers at the Same Location NPPES 11

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

MARISOL NEGRETTE
Counselor (Addiction (Substance Use Disorder))
5012 S LA BREA AVE
LOS ANGELES, CA 90056
Los Angeles County (310) 272-6666
MIRTHA G HERNANDEZ
Counselor
5012 S LA BREA AVE
LOS ANGELES, CA 90056
Los Angeles County (323) 298-3050
DAVID GRGORY FUTEMA
Counselor (Addiction (Substance Use Disorder))
5012 S LA BREA AVE
LOS ANGELES, CA 90056
Los Angeles County (323) 290-0202
MR. DONALD LEE BRADFORD
Counselor (Addiction (Substance Use Disorder))
5012 S LA BREA AVE
LOS ANGELES, CA 90056
Los Angeles County (323) 290-0200
ULTIMATE LIFESTYLE CENTER
Voluntary or Charitable
5012 S LA BREA AVE, SUITES # 2-5
LOS ANGELES, CA 90056
Los Angeles County (323) 290-0200
JOSEPH O NWOCHE
Counselor (Addiction (Substance Use Disorder))
5012 S LA BREA AVE
LOS ANGELES, CA 90056
Los Angeles County (323) 298-3024
DAVID CHILE
Counselor
5012 S LA BREA AVE
LOS ANGELES, CA 90056
Los Angeles County (323) 298-3050
DAVID C MOMODU
Counselor
5012 S LA BREA AVE
LOS ANGELES, CA 90056
Los Angeles County (323) 298-3050

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 Ultimate Lifestyle Center's NPI number?

The NPI number for Ultimate Lifestyle Center is 1720344716. It was assigned to this organization in the NPPES registry on April 4, 2012.

Where is Ultimate Lifestyle Center located?

Ultimate Lifestyle Center is located at 5012 S La Brea Ave, Los Angeles, CA 90056. The listed phone number is (323) 290-0200.

What is Ultimate Lifestyle Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Ultimate Lifestyle Center was last updated on April 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.