Upper Path Recovery LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

UPPER PATH RECOVERY LLC

Practice address

22110 Clarendon St Ste 201&202
Woodland Hills, CA 91367-6310

Phone

(818) 748-4845

Fax

(818) 748-8599

NPI assigned

Oct 25, 2022

Organization subpart

No

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

Authorized official

Name

Inga Abgaryan

Title

Ceo

Phone

(707) 500-3030

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1679290035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22110 CLARENDON ST STE 201&202",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676310",
            "telephone_number": "818-748-4845",
            "fax_number": "818-748-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22110 CLARENDON ST STE 201&202",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676310",
            "telephone_number": "818-748-4845",
            "fax_number": "818-748-8599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER PATH RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-25",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "ABGARYAN",
        "authorized_official_first_name": "INGA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "707-500-3030"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Use Disorder Rehabilitation Clinic/Center in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.

Verify at the official NPI Registry.