5 RES DETOX LLC NPI 1619426707

NPI Information

  • NPI: 1619426707
  • Provider Name: 5 RES DETOX LLC
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Address: 10902 RIVERSIDE DR #B
    NORTH HOLLYWOOD, CA
    ZIP 91682
  • Phone: (213) 944-9468

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NPI Details

5 RES DETOX LLC is a rehabilitation and substance use disorder clinic center in North Hollywood, CA. 5 RES DETOX LLC NPI is 1619426707. The provider is registered as an organization entity type.

The provider's business location address is:

10902 RIVERSIDE DR #B
NORTH HOLLYWOOD, CA
ZIP 91682
Phone: (213) 944-9468

The provider's authorized official is Lexie Shine .
The authorized official title is Ceo and has the following contact phone number (213) 944-9468.

The enumeration date for this NPI number is 9/29/2016 and was last updated on 4/26/2017.

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
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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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