Organization Active NPI

Granada Hills Detox Center, Inc.

  • Substance Abuse Rehabilitation Facility
  • Granada Hills, CA
National Provider Identifier
1184515108
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
GRANADA HILLS DETOX CENTER, INC.
Practice address
15928 Devonshire St
Granada Hills, CA 91344-7132
Phone
(818) 687-0059
NPI assigned
Jul 9, 2025
Last updated
Jul 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Authorized official

Name
Elya Kazaryan
Title
President
Phone
(818) 602-0406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

15928 Devonshire St
Granada Hills, CA 91344-7132

Mailing address

15928 Devonshire St
Granada Hills, CA 91344-7132
Phone (818) 602-0406

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1752019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752019200000",
    "number": "1184515108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15928 DEVONSHIRE ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913447132",
            "telephone_number": "818-602-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15928 DEVONSHIRE ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913447132",
            "telephone_number": "818-687-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANADA HILLS DETOX CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-09",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A",
        "authorized_official_last_name": "KAZARYAN",
        "authorized_official_first_name": "ELYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-602-0406"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granada Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.