ELYSIAN HEALTH LLC
NPI 1750122966
Clinic/Center - Adult Mental Health in Los Angeles, CA

Active since June 03, 2024CLIA 05D2303887 · Waiver
7966 BEVERLY BLVD STE 103, LOS ANGELES, CA 90048(310) 892-6295 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elysian Health Llc NPPES

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

ELYSIAN HEALTH LLC (NPI 1750122966) is a healthcare organization registered as an adult mental health in Los Angeles, California and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through May 1, 2028 and lists Justin White, Ceo, as its authorized official.

NPPES Registry Identity

NPI1750122966
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameELYSIAN HEALTH LLC
Location Address7966 BEVERLY BLVD STE 103Los Angeles, CA 90048-4511
Mailing Address7966 Beverly Blvd Ste 103Los Angeles, CA 90048-4511 · (310) 892-6295
Organization SubpartNo
Authorized OfficialJustin WhiteCeo · (310) 892-6295
Enumeration DateJune 3, 2024
Last NPPES UpdateApril 14, 2025
NPPES CertifiedApril 14, 2025
NPI 1750122966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
7966 BEVERLY BLVD STE 103, Los Angeles, CA 90048

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 05D2303887

Elysian Health LLC · Los Angeles, CA
Active · expires May 1, 2028
CLIA Number05D2303887
Laboratory TypeSud Outpatient
Certificate Effective DateMay 2, 2026
Certificate Expiration DateMay 1, 2028
Laboratory DirectorRyan Peterson
Laboratory Phone(855) 340-9952
Laboratory LocationElysian Health LLC7966 Beverly Blvd Suite 102, Los Angeles, CA 90048
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Elysian Health LLC's NPI number?

The NPI number for Elysian Health LLC is 1750122966. It was assigned to this organization in the NPPES registry on June 3, 2024.

Where is Elysian Health LLC located?

Elysian Health LLC is located at 7966 Beverly Blvd Ste 103, Los Angeles, CA 90048. The listed phone number is (310) 892-6295.

What is Elysian Health LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Does Elysian Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2303887) is associated with this NPI, valid through May 1, 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 Elysian Health LLC was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.