Light Recovery Inc

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

LIGHT RECOVERY INC

Practice address

16946 Sherman Way Unit 200
Van Nuys, CA 91406-3613

Phone

(818) 572-6438

NPI assigned

Feb 19, 2025

Organization subpart

No

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

Authorized official

Name

Arytun Khoudagoulian

Title

Ceo

Phone

(818) 572-6438

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1992501274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16946 SHERMAN WAY UNIT 200",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16946 SHERMAN WAY UNIT 200",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063613",
            "telephone_number": "818-572-6438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHT RECOVERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "KHOUDAGOULIAN",
        "authorized_official_first_name": "ARYTUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-572-6438"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.