OrganizationActive
Cnv Detox Inc.
NPI 1669941811 · Substance Abuse Rehabilitation Facility · Los Angeles, CA
Provider details
- NPI number
- 1669941811
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- David Marvin, Chief Executive Officer(310) 592-0139
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
5919 W 74th St
Los Angeles, CA 90045-1601
Phone: (310) 431-4829
Street-level locationGet directions
Mailing address
Po Box 9848
Marina Del Rey, CA 90295-2248
Registry dates
- Enumerated
- 2018-11-16
- Last updated
- 2021-09-15
- Certified
- 2021-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.