Active NPI
Recovery Dynamics LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Los Angeles, CA
National Provider Identifier
1972351716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- RECOVERY DYNAMICS LLC
- Doing business as
- Hollywood Detox
- Practice address
- 1776 N Highland Ave
Los Angeles, CA 90028-4404 - Phone
- (213) 333-3869
- NPI assigned
- May 7, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sean Tabibian
- Title
- Manager
- Phone
- (310) 927-8811
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
1776 N Highland Ave
Los Angeles, CA 90028-4404
Mailing address
1776 N Highland Ave
Los Angeles, CA 90028-4404
Phone (213) 333-3869
Other practice location 1
948 S Cochran Ave
Los Angeles, CA 90036-4739
Phone (213) 333-3869
Other names 1
- Hollywood Detox
National Provider Directory
National Provider Directory- Tax ID family
- Recovery Dynamics LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Los Angeles, CA
- NPI 1407661713
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Substance Abuse Rehabilitation Facility
- Los Angeles, CA
- NPI 1407661713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772582400000",
"number": "1972351716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1776 N HIGHLAND AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900284404",
"telephone_number": "213-333-3869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1776 N HIGHLAND AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900284404",
"telephone_number": "213-333-3869"
}
],
"practiceLocations": [
{
"address_1": "948 S Cochran Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900364739",
"country_code": "US",
"telephone_number": "213-333-3869",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "RECOVERY DYNAMICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-07",
"last_updated": "2026-03-04",
"certification_date": "2026-03-04",
"status": "A",
"authorized_official_last_name": "TABIBIAN",
"authorized_official_first_name": "SEAN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "310-927-8811"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hollywood Detox",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Mar 4, 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.