Active NPI
Reflections Recovery LLC
Doing business as Los Angeles Detox LLC
- Substance Abuse Rehabilitation Facility
- Los Angeles, CA
National Provider Identifier
1750749933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 190861AP
- Legal business name
- REFLECTIONS RECOVERY LLC
- Doing business as
- Los Angeles Detox LLC
- Practice address
- 522 N Larchmont Blvd
Los Angeles, CA 90004-1306 - Phone
- (323) 450-2205
- NPI assigned
- Feb 3, 2016
- 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
- Allan Dicks
- Title
- Ceo
- Phone
- (323) 450-2205
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 190861AP | CA | Primary |
Addresses
Primary practice location
522 N Larchmont Blvd
Los Angeles, CA 90004-1306
Mailing address
800 W 6TH St Ste 380
Los Angeles, CA 90017-2706
Phone (323) 450-2205
Other names 1
- Los Angeles Detox LLC
National Provider Directory
National Provider Directory- Tax ID family
- Reflections Recovery LLC
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Fountain Valley, CA
- NPI 1396299012
-
- Addiction (Substance Use Disorder) Counselor
- Fountain Valley, CA
- NPI 1306350111
-
dba Reflections Recovery Center
- Substance Abuse Rehabilitation Facility
- Costa Mesa, CA
- NPI 1760866149
-
- Substance Abuse Rehabilitation Facility
- Corona, CA
- NPI 1225409584
-
- Substance Abuse Rehabilitation Facility
- Fountain Valley, CA
- NPI 1578800017
Locations
800 W 6th St
Ste 380
Los Angeles, CA 90017
522 N Larchmont Blvd
Los Angeles, CA 90004
Phone (213) 444-5309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454457600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1454457600000",
"number": "1750749933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 W 6TH ST STE 380",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900172706",
"telephone_number": "323-450-2205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 N LARCHMONT BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900041306",
"telephone_number": "323-450-2205"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REFLECTIONS RECOVERY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-03",
"last_updated": "2016-02-03",
"status": "A",
"authorized_official_last_name": "DICKS",
"authorized_official_first_name": "ALLAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "323-450-2205"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "CA",
"license": "190861AP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Los Angeles Detox LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Feb 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.