Myodetox California PC Inc.
NPI 1891482519 · Physical Therapy Clinic/Center · West Hollywood, CA
Myodetox California PC Inc. is a Physical Therapy Clinic/Center organization in West Hollywood, CA (NPI 1891482519).
Provider details
- NPI number
- 1891482519
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Scott Marcaccio, Assistant Secretary(917) 327-0019
Specialties & taxonomies
Ambulatory Health Care Facilities
- Chiropractor111N00000X
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Mailing address
Other names (DBA / former)
- Doing business as
- Myodetox
Additional practice locations (2)
- 11611 San Vicente BlvdLos Angeles, CA 90049-5106Phone: (323) 430-6630
- 12833 Ventura Blvd Unit 153Studio City, CA 91604-2368Phone: (323) 826-5277
Registry dates
- Enumerated
- 2023-04-21
- Last updated
- 2023-04-21
- Certified
- 2023-04-21
Frequently asked questions
- What is Myodetox California PC Inc.'s NPI number?
- Myodetox California PC Inc.'s National Provider Identifier (NPI) is 1891482519, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Myodetox California PC Inc.?
- Myodetox California PC Inc. is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Myodetox California PC Inc. located?
- Myodetox California PC Inc.'s practice location on file with NPPES is 8354 Santa Monica Blvd, West Hollywood, CA 90069-4313.
- What is Myodetox California PC Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Myodetox California PC Inc. is (323) 831-2455.
- Who is the authorized official for Myodetox California PC Inc.?
- The authorized official listed on Myodetox California PC Inc.'s NPPES record is Scott Marcaccio, Assistant Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Myodetox California PC Inc.'s NPI active?
- Yes — Myodetox California PC Inc.'s NPI (1891482519) is active in the NPPES registry as of the last update on 2023-04-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.