OrganizationActive
Avedis Detox Inc.
NPI 1124666334 · Substance Abuse Rehabilitation Facility · Los Angeles, CA
Provider details
- NPI number
- 1124666334
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- George Degirmendjian, Ceo(323) 243-3422
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1122 S Citrus Ave
Los Angeles, CA 90019-1642
Phone: (323) 243-3422
Street-level locationGet directions
Mailing address
1122 S Citrus Ave
Los Angeles, CA 90019-1642
Registry dates
- Enumerated
- 2019-12-18
- Last updated
- 2024-11-05
- Certified
- 2024-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.