Active NPI
Satori Health Detox, LLC
- Substance Abuse Rehabilitation Facility
- Tarzana, CA
National Provider Identifier
1427834977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- SATORI HEALTH DETOX, LLC
- Practice address
- 5312 Amigo Ave
Tarzana, CA 91356-4112 - Phone
- (310) 795-0542
- NPI assigned
- Aug 31, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Yosef Grossman
- Title
- Chief Executive Officer
- Phone
- (310) 795-0542
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
5312 Amigo Ave
Tarzana, CA 91356-4112
Mailing address
5900 Sepulveda Blvd Ste 432
Van Nuys, CA 91411-2577
Phone (310) 795-0542
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693440000000",
"number": "1427834977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5900 SEPULVEDA BLVD STE 432",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914112577",
"telephone_number": "310-795-0542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5312 AMIGO AVE",
"city": "TARZANA",
"state": "CA",
"postal_code": "913564112",
"telephone_number": "310-795-0542"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SATORI HEALTH DETOX, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-31",
"last_updated": "2023-08-31",
"certification_date": "2023-08-31",
"status": "A",
"authorized_official_last_name": "GROSSMAN",
"authorized_official_first_name": "YOSEF",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "310-795-0542",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.