OrganizationActive
Behavioral Health Services
NPI 1407123722 · Substance Use Disorder Rehabilitation Clinic/Center · Los Angeles, CA
Provider details
- NPI number
- 1407123722
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Felipe Rodriguez, Supervisor(323) 221-1746
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
4099 N Mission Rd
Los Angeles, CA 90032-2554
Phone: (323) 221-1746
Fax: (323) 221-5176
Street-level locationGet directions
Mailing address
4099 N Mission Rd
Los Angeles, CA 90032-2554
Registry dates
- Enumerated
- 2011-12-01
- Last updated
- 2011-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.