Legacy Healing Center California LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

LEGACY HEALING CENTER CALIFORNIA LLC

Practice address

2321 Castilian Dr
Los Angeles, CA 90068-2614

Phone

(561) 308-0865

NPI assigned

Aug 16, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Damaris Gonzalez

Title

Director of Operations

Phone

(561) 308-0865

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Allison Slack

  • Adult Psychiatric/Mental Health Registered Nurse
  • Parkland, FL
  • NPI 1982024030
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1003699752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 EXCHANGE CT STE 185",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314000",
            "telephone_number": "561-308-0865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 CASTILIAN DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900682614",
            "telephone_number": "561-308-0865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2462 Solar Dr",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900461741",
            "country_code": "US",
            "telephone_number": "561-308-0865",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2457 Solar Dr",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900461740",
            "country_code": "US",
            "telephone_number": "561-308-0865",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6519 Cleon Ave",
            "address_purpose": "LOCATION",
            "city": "North Hollywood",
            "state": "CA",
            "postal_code": "916062707",
            "country_code": "US",
            "telephone_number": "800-808-4570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2366 Astral Dr",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900461702",
            "country_code": "US",
            "telephone_number": "561-308-0865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEGACY HEALING CENTER CALIFORNIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-16",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "DAMARIS",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "561-308-0865"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenda Leflore, NP
• Michelle Lefort
• Left Coast Sports Innovations LLC
• Legacy Birth Pros. LLC
• Legacy DME
• Legacy Healing Center Los Angeles LLC
• Legacy Health & Academy
• Legacy Marketing Worldwide Inc.
• Tai Logan Legagnoux, AMFT
• Legal Psychological Evaluations, Inc.

• Substance Abuse Rehabilitation Facility in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.