CNV Detox Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

CNV DETOX INC.

Practice address

5919 W 74TH St
Los Angeles, CA 90045-1601

Phone

(310) 431-4829

NPI assigned

Nov 16, 2018

Organization subpart

No

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

Authorized official

Name

Mr. David Marvin

Title

Chief Executive Officer

Phone

(310) 592-0139

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Carmen Gomez

  • Clinical Social Worker
  • Lancaster, CA
  • NPI 1609547579
  NPD (past)

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1669941811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9848",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902952248",
            "telephone_number": "310-592-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5919 W 74TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900451601",
            "telephone_number": "310-431-4829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CNV DETOX INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-16",
        "last_updated": "2021-09-15",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "MARVIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "310-592-0139",
        "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": []
}

• Katia Lee Margaret Cnop, DO
• Nicholas R Cnossen, M.D., M.P.H.
• CNR Medical Billing LLC
• CNS Pharmacy Inc
• CNS Pharmacy Inc
• Edwin Wen Co, PPS
• Evelyn K Co, LMFT INC
• Teresa Co
• Thien-Kim Nguyen Co, DO
• Coalition of Mental Health Professionals, Inc

• 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 Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.