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SG DETOX 5156 LLC
NPI 1780045302
Substance Abuse Rehabilitation Facility in Woodland Hills, CA

Active since March 09, 2016
5156 BASCULE AVE, WOODLAND HILLS, CA 91364(818) 456-4658 Get Directions Write a Review

NPPES record last updated: March 9, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Substance Abuse Rehabilitation Facility

About SG DETOX 5156 LLC

This page provides the complete NPI Profile along with additional information for Sg Detox 5156 Llc, a provider established in Woodland Hills, California operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1780045302 assigned on March 2016. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Mr. Adam Telanoff (Ceo)

NPI
1780045302 Verify this NPI
Provider Name
SG DETOX 5156 LLC
Entity Type
Organization
Location Address
5156 BASCULE AVE WOODLAND HILLS, CA 91364
Location Phone
(818) 456-4658
Mailing Address
2640 LINCOLN BLVD #8 SANTA MONICA, CA 90405
Mailing Phone
(424) 272-1860
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-09-2016
Last Update Date
03-09-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
License State
CA
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. ADAM TELANOFF

Authorized Official Title
CEO
Authorized Official Phone
(424) 272-1860

Reviews for SG DETOX 5156 LLC

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

RESET RECOVERY LLC
Substance Abuse Rehabilitation Facility
5156 BASCULE AVE
WOODLAND HILLS, CA 91364
Los Angeles County (747) 888-9747

Frequently Asked Questions

What is SG DETOX 5156 LLC's NPI number?

The NPI number assigned to this healthcare provider is 1780045302, enumerated as an "organization" on March 09, 2016.

Where is the provider located?

The provider is located at 5156 BASCULE AVE WOODLAND HILLS, CA 91364 and the phone number is (818) 456-4658.

What is the provider's specialty?

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.