Avedis Detox Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

AVEDIS DETOX INC.

Practice address

1122 S Citrus Ave
Los Angeles, CA 90019-1642

Phone

(323) 243-3422

NPI assigned

Dec 18, 2019

Organization subpart

No

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

Authorized official

Name

George Sarkis DegirmendjianNPI 1144886904

Title

Ceo

Phone

(323) 243-3422

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.

• George Sarkis Degirmendjian

  • Substance Abuse Rehabilitation Facility
  • Los Angeles, CA
  • NPI 1144886904
  NPD Authorized official

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1124666334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 S CITRUS AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900191642",
            "telephone_number": "323-243-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 S CITRUS AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900191642",
            "telephone_number": "323-243-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVEDIS DETOX INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-18",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "DEGIRMENDJIAN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "SARKIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-243-3422"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avantgarde Medical, Inc
• Avantis Neuroscience Inc
• Avanza Family Services Incorporated
• Mitra Avari, LPCC AND LEP
• Gulnar Avaz, MD
• Avedis Recovery Inc.
• Jacqueline Avedisian
• Sonia Elizabeth Avelar Martinez, LCSW
• Anthony Edward Avelar
• Azaya Avelar

• 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 Nov 5, 2024; 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.