Hollywood Luxury Rehab

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

HOLLYWOOD LUXURY REHAB

Practice address

6425 Weidlake Dr
Los Angeles, CA 90068-2277

Phone

(323) 395-7772

NPI assigned

Dec 21, 2023

Organization subpart

No

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

Authorized official

Name

Stepan Ajemyan

Title

Ceo

Phone

(323) 395-7772

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1932978723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7633 TEESDALE AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916052139",
            "telephone_number": "323-395-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6425 WEIDLAKE DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900682277",
            "telephone_number": "323-395-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYWOOD LUXURY REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-21",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "AJEMYAN",
        "authorized_official_first_name": "STEPAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-395-7772"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hollywood Home Health Services Inc
• Hollywood Hospitalist Medical Group, Inc.
• Hollywood Imaging&Diagnostic.Inc
• Hollywood Internal Medicine Clinic Inc
• Hollywood Lifestyle Dermaotogy
• Hollywood Medical Center
• Hollywood Medical Primary Care Inc
• Hollywood Medical Rehabilitaion Care, Inc
• Hollywood Medical Rehabilitation Care, Inc.
• Hollywood Medical Rehabilitation Care, Inc.

• Substance Use Disorder Rehabilitation Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.