NPIMap

Organization Active NPI

Mas Pro Group LLC

Doing business as Wish Recovery IOP

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Northridge, CA
National Provider Identifier
1376232728
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
MAS PRO GROUP LLC
Doing business as
Wish Recovery IOP
Practice address
9846 White Oak Ave Ste 204
Northridge, CA 91325-4806
Phone
(747) 333-8884
NPI assigned
May 2, 2023
Last updated
Jul 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Authorized official

Name
Mikayel Hakobyan
Title
Ceo
Phone
(747) 232-4283

Specialties & licenses 2

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

Addresses

Primary practice location

9846 White Oak Ave Ste 204
Northridge, CA 91325-4806

Mailing address

9846 White Oak Ave Ste 204
Northridge, CA 91325-4806

Other names 1

  • Wish Recovery IOP Doing business as

National Provider Directory

National Provider Directory

Locations

9846 White Oak Ave
Ste 204
Northridge, CA 91325
Phone (747) 333-8884

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1376232728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9846 WHITE OAK AVE STE 204",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9846 WHITE OAK AVE STE 204",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254806",
            "telephone_number": "747-333-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAS PRO GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "HAKOBYAN",
        "authorized_official_first_name": "MIKAYEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-232-4283"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wish Recovery IOP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wish Recovery IOP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.