Organization Active NPI

La Wellness Haven

  • Substance Abuse Rehabilitation Facility
  • Northridge, CA
National Provider Identifier
1770358293
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
LA WELLNESS HAVEN
Practice address
8908 Canby Ave
Northridge, CA 91325-2703
Phone
(818) 644-0826
NPI assigned
Nov 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Authorized official

Name
Mr. Hovhannes Sinanian
Title
Ceo
Phone
(818) 644-0826

Specialties & licenses 2

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

Addresses

Primary practice location

8908 Canby Ave
Northridge, CA 91325-2703

Mailing address

8908 Canby Ave
Northridge, CA 91325-2703
Phone (818) 644-0826

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2313061La Wellness Haven8908 Canby Ave, Northridge, CA 91325Certificate of waiverOct 22, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1770358293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8908 CANBY AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913252703",
            "telephone_number": "818-644-0826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8908 CANBY AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913252703",
            "telephone_number": "818-644-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA WELLNESS HAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-15",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "SINANIAN",
        "authorized_official_first_name": "HOVHANNES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-644-0826",
        "authorized_official_name_prefix": "Mr."
    },
    "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 Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.