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LICASA INC
NPI 1871198556
Clinic/Center - Adult Mental Health in Reseda, CA

Active since December 01, 2020CLIA 05D2329910 · Waiver
7041 RESEDA BLVD, RESEDA, CA 91335(818) 210-6612 Get Directions Write a Review

NPPES record last updated: December 1, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Licasa Inc NPPES

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

LICASA INC (NPI 1871198556) is a healthcare organization registered as an adult mental health in Reseda, California and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through September 7, 2027 and lists Lilit Muradyan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1871198556
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameLICASA INC
Location Address7041 RESEDA BLVDReseda, CA 91335-4209
Mailing Address7041 Reseda BlvdReseda, CA 91335-4209 · (818) 210-6612
Phone(818) 210-6612
Organization SubpartNo
Authorized OfficialLilit MuradyanCeo · (818) 210-6612
Enumeration DateDecember 1, 2020
NPPES CertifiedDecember 1, 2020
✔ NPI 1871198556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
7041 RESEDA BLVD, Reseda, CA 91335
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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 05D2329910

Licasa, Inc · Reseda, CA
Active · expires Sep 7, 2027
CLIA Number05D2329910
Laboratory TypeOutpatient Trtmnt Cnter
Certificate Effective DateSeptember 8, 2025
Certificate Expiration DateSeptember 7, 2027
Laboratory DirectorAdnan Khoury
Laboratory Phone(818) 600-8384
Laboratory LocationLicasa, Inc7041 Reseda Blvd, Reseda, CA 91335
CLIA data matches this NPI record on: Address 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 Licasa Inc's NPI number?

The NPI number for Licasa Inc is 1871198556. It was assigned to this organization in the NPPES registry on December 1, 2020.

Where is Licasa Inc located?

Licasa Inc is located at 7041 Reseda Blvd, Reseda, CA 91335. The listed phone number is (818) 210-6612.

What is Licasa Inc's specialty?

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

Does Licasa Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2329910) is associated with this NPI, valid through September 7, 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 Licasa Inc was last updated on December 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.