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ROCCOYA OCTAVIA EDWARDS
NPI 1750074886
Substance Abuse Rehabilitation Facility in Los Angeles, CA

Active since June 02, 2023
12021 WILMINGTON AVE STE 102, LOS ANGELES, CA 90059(424) 454-6001 Get Directions Write a Review

NPPES record last updated: June 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Roccoya Octavia Edwards NPPES

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

ROCCOYA OCTAVIA EDWARDS (NPI 1750074886) is an individual substance abuse rehabilitation facility provider in Los Angeles, California and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1750074886
Entity TypeIndividualFemale
Primary Taxonomy324500000X
Provider Legal NameROCCOYA OCTAVIA EDWARDS
Location Address12021 WILMINGTON AVE STE 102Los Angeles, CA 90059-3019
Mailing Address12021 Wilmington Ave Ste 102Los Angeles, CA 90059-3019 · (424) 454-6001
Phone(424) 454-6001
Sole ProprietorYes
Enumeration DateJune 2, 2023
NPPES CertifiedJune 2, 2023
✔ NPI 1750074886 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.
12021 WILMINGTON AVE STE 102, Los Angeles, CA 90059
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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 Roccoya Edwards's NPI number?

The NPI number for Roccoya Edwards is 1750074886. It was assigned to this individual provider in the NPPES registry on June 2, 2023.

Where is Roccoya Edwards located?

Roccoya Edwards practices at 12021 Wilmington Ave Ste 102, Los Angeles, CA 90059. The listed phone number is (424) 454-6001.

What is Roccoya Edwards'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 Roccoya Edwards was last updated on June 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.