Melrose Recovery, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

190907AP

Legal business name

MELROSE RECOVERY, LLC

Practice address

501 N Mariposa Ave
Los Angeles, CA 90004-2805

Phone

(702) 901-9079

NPI assigned

Apr 13, 2016

Organization subpart

No

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

Authorized official

Name

Walt Ybarra

Title

Owner

Phone

(702) 901-9079

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Sean Aronow, M.D.

  • Addiction Medicine (Internal Medicine) Physician
  • Culver City, CA
  • NPI 1598878324
  NPD (past)

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1922452150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1247 N LAKEVIEW AVE STE B",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928071833",
            "telephone_number": "702-901-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N MARIPOSA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900042805",
            "telephone_number": "702-901-9079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELROSE RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-13",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "YBARRA",
        "authorized_official_first_name": "WALT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-901-9079"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": "190907AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrian Acosta Melquiades
• Melrose Family Care Medical Center Inc
• Melrose Gardens
• Melrose Group LTD.
• Melrose Hospice Care Inc
• Melrose Recovery, LLC.
• Melrose Villas, Inc
• Rebecca Jean Melrose, PH.D.
• Samuel Neil Melton, M.D.
• Tia Monique Melton

• Substance Abuse Rehabilitation Facility in Los Angeles, CA
• Providers in Los Angeles, 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 Apr 13, 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.