La Detox Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

LA DETOX INC

Practice address

19270 Calahan St
Northridge, CA 91324-2709

Phone

(818) 571-9841

NPI assigned

Mar 23, 2022

Organization subpart

No

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

Authorized official

Name

Arthur Mogilevski

Title

Owner

Phone

(818) 571-9841

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1104575349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19270 CALAHAN ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913242709",
            "fax_number": "760-859-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19270 CALAHAN ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913242709",
            "telephone_number": "818-571-9841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA DETOX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "MOGILEVSKI",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-571-9841"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.ladetox.net",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "19270 Calahan St",
            "city": "Northridge",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913242709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Narbeh Kureghian, D.M.D.
• Karolin Kurkcuoglu
• Karey Kei Kusuhara, DDS
• Jane Kwak
• Choo Eui Kwon
• La Metropolitan Home Health Incorporated
• La Wellness Haven
• Carolyn A. Labbe, LMFT
• Barbara Jean Lack, DDS
• Madeleine Marie Lafia, MFT

• Substance Abuse Rehabilitation Facility in Northridge, CA
• Providers in Northridge, 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 23, 2022; 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.