Los Angeles Rehab & Detox

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

LOS ANGELES REHAB & DETOX

Practice address

11853 Blythe St
North Hollywood, CA 91605-2506

Phone

(626) 348-9144

NPI assigned

Aug 11, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Michael Wondimu

Title

Ceo

Phone

(626) 348-9144

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1754870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754870400000",
    "number": "1073498630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11853 BLYTHE ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916052506",
            "telephone_number": "626-348-9144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11853 BLYTHE ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916052506",
            "telephone_number": "626-348-9144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ANGELES REHAB & DETOX",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A",
        "authorized_official_last_name": "WONDIMU",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-348-9144",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Los Angeles County - North Hollywood Mtu
• Los Angeles County Department of Mental Health
• Los Angeles Developmental Behavioral Pediatric Medical Group, P.C.
• Los Angeles Developmental Behavioral Pediatric Services, LLC
• Los Angeles Family Housing
• Los Angeles Sports Institute and Physical Therapy Inc
• Lova Hospice Inc
• Love & Care Boarding Home, Inc
• Love & Light Recovery Center Inc
• Isabel Lovill

• Substance Abuse Rehabilitation Facility in North Hollywood, CA
• Providers in North Hollywood, 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 Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.