Park Elite Detox LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

PARK ELITE DETOX LLC

Practice address

23670 Park Andorra
Calabasas, CA 91302-1760

Phone

(806) 808-0008

Fax

(818) 499-0992

NPI assigned

Mar 4, 2024

Organization subpart

No

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

Authorized official

Name

Arus Gyulbudagyan

Title

Ceo

Phone

(806) 808-0008

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

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1063279438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23670 PARK ANDORRA",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021760",
            "telephone_number": "806-808-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23670 PARK ANDORRA",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021760",
            "telephone_number": "806-808-0008",
            "fax_number": "818-499-0992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK ELITE DETOX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "GYULBUDAGYAN",
        "authorized_official_first_name": "ARUS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "806-808-0008"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tori Palliccia, MA, LMFT
• Sahar Sara Panhasi
• Jake Panikowski
• Emma Kathryn Paranick
• Laura L. Paris, OMD, LAC
• Charles Park, M.D.
• Charlene Parker, RN, NP-BC
• Krista Parker, M.A., AMFT, APCC
• Parkway Pediatric Medical Group Inc (Parkway Pediatrics)
• Parkway Surgery Center LLC

• Substance Abuse Rehabilitation Facility in Calabasas, CA
• Providers in Calabasas, 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 Mar 14, 2025; 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.