Active NPI
Meridian Recovery LLC
- Substance Abuse Rehabilitation Facility
- Los Angeles, CA
National Provider Identifier
1558016543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- MERIDIAN RECOVERY LLC
- Practice address
- 11835 W Olympic Blvd Ste 815E
Los Angeles, CA 90064-5056 - Phone
- (323) 332-9905
- NPI assigned
- Feb 17, 2022
- 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
- Kevin Lehtinen
- Title
- Ceo
- Phone
- (440) 488-9594
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
11835 W Olympic Blvd Ste 815E
Los Angeles, CA 90064-5056
Mailing address
11835 W Olympic Blvd Ste 815E
Los Angeles, CA 90064-5056
Phone (323) 332-9905
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645056000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704153600000",
"number": "1558016543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11835 W OLYMPIC BLVD STE 815E",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900645056",
"telephone_number": "323-332-9905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11835 W OLYMPIC BLVD STE 815E",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900645056",
"telephone_number": "323-332-9905"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERIDIAN RECOVERY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-17",
"last_updated": "2024-01-02",
"certification_date": "2024-01-02",
"status": "A",
"authorized_official_last_name": "LEHTINEN",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "440-488-9594"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"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": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.