Organization Active NPI

KKG Recovery Center

  • Substance Abuse Rehabilitation Facility
  • North Hollywood, CA
National Provider Identifier
1942155445
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
KKG RECOVERY CENTER
Practice address
12019 Ratner St
North Hollywood, CA 91605-1411
Phone
(818) 422-4004
NPI assigned
Mar 2, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Authorized official

Name
Manne Oganyan, MPA
Title
Consultant
Phone
(818) 422-4004

Specialties & licenses 1

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

Addresses

Primary practice location

12019 Ratner St
North Hollywood, CA 91605-1411

Mailing address

12019 Ratner St
North Hollywood, CA 91605-1411

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1772409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1942155445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12019 RATNER ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916051411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12019 RATNER ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916051411",
            "telephone_number": "818-422-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KKG RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-02",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A",
        "authorized_official_last_name": "OGANYAN",
        "authorized_official_first_name": "MANNE",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "818-422-4004",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.