Organization Active NPI

Legend Recovery

  • Substance Abuse Rehabilitation Facility
  • Los Angeles, CA
National Provider Identifier
1801244330
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
LEGEND RECOVERY
Practice address
10700 Santa Monica Blvd Ste 205
Los Angeles, CA 90025-6588
Phone
(310) 474-7211
NPI assigned
May 25, 2016
Organization subpart
Yes
Parent organization
OVERNIGHT DIAGNOSTICS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 8, 2016

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

Authorized official

Name
Michael Yedidsion
Title
Owner
Phone
(310) 474-7211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

10700 Santa Monica Blvd Ste 205
Los Angeles, CA 90025-6588

Mailing address

10700 Santa Monica Blvd Ste 205
Los Angeles, CA 90025-6588
Phone (310) 474-7211

National Provider Directory

National Provider Directory
Part of
Overnight Diagnostics LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470614400000",
    "number": "1801244330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 SANTA MONICA BLVD STE 205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256588",
            "telephone_number": "310-474-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 SANTA MONICA BLVD STE 205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256588",
            "telephone_number": "310-474-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGEND RECOVERY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OVERNIGHT DIAGNOSTICS LLC",
        "enumeration_date": "2016-05-25",
        "last_updated": "2016-08-08",
        "status": "A",
        "authorized_official_last_name": "YEDIDSION",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-474-7211"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 8, 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.

Verify at the official NPI Registry.