Northstar Detox & Rehab Center, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

NORTHSTAR DETOX & REHAB CENTER, LLC

Practice address

4610 Winnetka Ave
Woodland Hills, CA 91364-4735

Phone

(818) 928-2058

NPI assigned

Sep 30, 2022

Organization subpart

Yes

Parent organization

NORHTSTAR DETOX & REHAB CENTER, LLCAs reported in NPPES

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

Authorized official

Name

Hossein Joukar, MD

Title

Medical Director

Phone

(305) 319-1133

Specialties & licenses 1

Addresses

Other names 1

• 4610 Winnetka Other name

Electronic endpoints 1

Tax ID family

Northstar Detox Rehab Center LLC2 organizations share this tax ID, including this one

Part of

Northstar Detox Rehab Center LLC

Other organizations with this tax ID 1

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

• Northstar Detox & Rehab Center, LLC

  • Substance Abuse Rehabilitation Facility
  • Tarzana, CA
  • NPI 1326669011
  NPD tax ID

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

{
    "created_epoch": "1664496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664496000000",
    "number": "1912621129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 WINNETKA AVE",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913644735",
            "telephone_number": "818-928-2058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 WINNETKA AVE",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913644735",
            "telephone_number": "818-928-2058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR DETOX & REHAB CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORHTSTAR DETOX & REHAB CENTER, LLC",
        "enumeration_date": "2022-09-30",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "JOUKAR",
        "authorized_official_first_name": "HOSSEIN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "305-319-1133",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WoodlandHills",
            "affiliation": "N",
            "endpointDescription": "at facility and on EMR",
            "address_1": "4610 Winnetka Ave",
            "city": "Woodland Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913644735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "4610 Winnetka",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• John Peter Nolan, MD
• Porsche N Nolen
• Danny Nong
• Dean T. Nora, MD
• Jeshante Normil
• Elizaveta Nosenko, DPT
• Asheem Noudjoumi, DDS
• Nicki Persia Nouri, NP
• Hormoz Nourian, DDS
• Nova Vitae Medical Clinic

• Substance Abuse Rehabilitation Facility in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.