Lakeridge Recovery Center

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

LAKERIDGE RECOVERY CENTER

Practice address

6664 Lakeridge Rd
Los Angeles, CA 90068-1816

Phone

(424) 202-0000

NPI assigned

Jun 5, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Arshak Gasparyan

Title

Ceo

Phone

(424) 202-2000

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1326732199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6664 LAKERIDGE RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900681816",
            "telephone_number": "424-202-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6664 LAKERIDGE RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900681816",
            "telephone_number": "424-202-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKERIDGE RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "GASPARYAN",
        "authorized_official_first_name": "ARSHAK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "424-202-2000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Encino, Inc. (Raechelle Care Home)
• Lake Side Medical Center Professional. Inc.
• Liana Lake-Watanabe, M.S.
• Catherine Lake
• Meghan Lake, M.S., CCC-SLP
• Dalance Ravonce Lakes
• Wendy Lee Lakes
• Lakeview Terrace Skilled Nursing Facility, LLC
• Lakewood Manor North Inc
• Rita Lakhssassi, MD

• 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 Jun 5, 2023; 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.