STUDIO 64 RECOVERY NPI 1558932558

NPI Information

  • NPI: 1558932558
  • Provider Name: STUDIO 64 RECOVERY
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • CLIA Number: 05D2297308
  • Address: 6400 LAUREL CANYON BLVD STE 600
    NORTH HOLLYWOOD, CA
    ZIP 91606
  • Phone: (818) 800-9702

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NPI Details

STUDIO 64 RECOVERY is a rehabilitation and substance use disorder clinic center in North Hollywood, CA. STUDIO 64 RECOVERY NPI is 1558932558. The provider is registered as an organization entity type.

The provider's business location address is:

6400 LAUREL CANYON BLVD STE 600
NORTH HOLLYWOOD, CA
ZIP 91606-568
Phone: (818) 800-9702

The provider's authorized official is Talin Mouradian .
The authorized official title is Secretary and has the following contact phone number (818) 800-9702.

The CLIA number assigned to this NPI record is 05D2297308 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/9/2021 and was last updated on 11/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0850XClinic/CenterAdult Mental HealthNo
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes
3324500000XSubstance Abuse Rehabilitation FacilityNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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