Organization Active NPI

Abc Wellness Health Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Canoga Park, CA
National Provider Identifier
1184414062
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
ABC WELLNESS HEALTH CENTER
Practice address
21054 Sherman Way Ste 300
Canoga Park, CA 91303-1777
Phone
(424) 441-4441
NPI assigned
May 12, 2025
Last updated
May 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Authorized official

Name
Mr. Edgar Mnatsakanyan
Title
Ceo
Phone
(424) 441-4441

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

21054 Sherman Way Ste 300
Canoga Park, CA 91303-1777

Mailing address

21054 Sherman Way Ste 300
Canoga Park, CA 91303-1777
Phone (424) 441-4441

National Provider Directory

National Provider Directory

Locations

21054 Sherman Way
Ste 300
Canoga Park, CA 91303
Phone (424) 441-4441

NPI Registry JSON

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1184414062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21054 SHERMAN WAY STE 300",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031777",
            "telephone_number": "424-441-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21054 SHERMAN WAY STE 300",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031777",
            "telephone_number": "424-441-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC WELLNESS HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "MNATSAKANYAN",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "424-441-4441",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.