Renaissance Detox Center

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

RENAISSANCE DETOX CENTER

Practice address

9240 Vanalden Ave
Northridge, CA 91324-2750

Phone

(310) 666-2392

NPI assigned

Aug 27, 2025

Organization subpart

No

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

Authorized official

Name

Davit Hakobyan

Title

President/Ceo

Phone

(310) 666-2392

Specialties & licenses 1

Addresses

Tax ID family

Renaissance Detox Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Renaissance Detox Center

  • Substance Abuse Rehabilitation Facility
  • Northridge, CA
  • NPI 1578442372
  NPD tax ID

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

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1194604900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9240 VANALDEN AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913242750",
            "telephone_number": "310-666-2392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9240 VANALDEN AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913242750",
            "telephone_number": "310-666-2392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE DETOX CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "HAKOBYAN",
        "authorized_official_first_name": "DAVIT",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "310-666-2392"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Reina, PSY.D.
• Kellie Michelle Reinecke, MS CCC/SLP
• Nida Rioga Relativo, D.D.S.
• Reliable Pharmacy
• Qianfang Ren, M.D.
• Renaissance Detox Center
• Renaissance Imaging Medical Associates, Inc.
• Renee Dua MD, a Professional Medical Corporation
• Michele Leann Renfrow, PSY.D.
• Edwin Requeno

• 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 Aug 27, 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.