RESTORE HEALTH AND WELLNESS CENTER LLC – NPI #1114637774
Substance Abuse Rehabilitation Facility

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.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

RESTORE HEALTH AND WELLNESS CENTER LLC is a substance abuse rehabilitation facility located in LOS ANGELES, CA. NPPES has assigned the NPI number 1114637774 to RESTORE HEALTH AND WELLNESS CENTER LLC on December 05, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 3 years ago on Aug 17, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RESTORE HEALTH AND WELLNESS CENTER LLC below.

NPI Profile for
RESTORE HEALTH AND WELLNESS CENTER LLC

NPI Number
1114637774
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RESTORE HEALTH AND WELLNESS CENTER LLC
Primary location
4323 COOLIDGE AVE
LOS ANGELES, CA 90066
Phone: (818) 946-2772 Fax:
Mailing address
6918 OWENSMOUTH AVE
CANOGA PARK, CA 91303-2003
Phone: (818) 946-2772 Fax:
Organization Subpart
Yes - RESTORE HEALTH AND WELLNESS CENTER LLC is subpart of another organization.
Authorized Official
ERIC LEON
COO
Phone: (954) 641-5366
Updated
Certification Date
Aug 17, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.