NPIMap

Organization Active NPI

Restore Health and Wellness Center LLC

  • Substance Abuse Rehabilitation Facility
  • Canoga Park, CA
National Provider Identifier
1760860639
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
RESTORE HEALTH AND WELLNESS CENTER LLC
Practice address
6918 Owensmouth Ave Ste a
Canoga Park, CA 91303-2003
Phone
(818) 946-2772
NPI assigned
May 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Authorized official

Name
Eric J Leon
Title
Coo
Phone
(954) 641-5366

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

6918 Owensmouth Ave Ste a
Canoga Park, CA 91303-2003

Mailing address

6918 Owensmouth Ave
Los Angeles, CA 90084-4077
Phone (818) 946-2772

Other practice location 1

10821 Baile Ave
Chatsworth, CA 91311-1948
Phone (818) 946-2772

Other practice location 2

10344 DeSoto Ave
Chatsworth, CA 91311-9130
Phone (818) 946-2772

Other practice location 3

10342 DeSoto Ave
Chatsworth, CA 91311
Phone (818) 946-2772

National Provider Directory

National Provider Directory
Tax ID family
Restore Health and Wellness Center LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6918 Owensmouth Ave
Ste A
Canoga Park, CA 91303

6918 Owensmouth Ave
Los Angeles, CA 90084

Ownership & related parties

Subparts reporting this organization as parent 9

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1760860639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6918 OWENSMOUTH AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900844077",
            "telephone_number": "818-946-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6918 OWENSMOUTH AVE STE A",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913032003",
            "telephone_number": "818-946-2772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10821 Baile Ave",
            "address_purpose": "LOCATION",
            "city": "Chatsworth",
            "state": "CA",
            "postal_code": "913111948",
            "country_code": "US",
            "telephone_number": "818-946-2772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10344 DeSoto Ave",
            "address_purpose": "LOCATION",
            "city": "Chatsworth",
            "state": "CA",
            "postal_code": "913119130",
            "country_code": "US",
            "telephone_number": "818-946-2772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10342 DeSoto Ave",
            "address_purpose": "LOCATION",
            "city": "Chatsworth",
            "state": "CA",
            "postal_code": "91311",
            "country_code": "US",
            "telephone_number": "818-946-2772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RESTORE HEALTH AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-12",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "LEON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "954-641-5366"
    },
    "taxonomies": [
        {
            "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 Canoga Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.