ELYSIAN HEALTH LLC NPI 1750122966

NPI Information

  • NPI: 1750122966
  • Provider Name: ELYSIAN HEALTH LLC
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • CLIA Number: 05D2303887
  • Address: 7966 BEVERLY BLVD STE 103
    LOS ANGELES, CA
    ZIP 90048
  • Phone: (310) 892-6295

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NPI Details

ELYSIAN HEALTH LLC is an adult mental health clinic center in Los Angeles, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. ELYSIAN HEALTH LLC NPI is 1750122966. The provider is registered as an organization entity type.

The provider's business location address is:

7966 BEVERLY BLVD STE 103
LOS ANGELES, CA
ZIP 90048-511
Phone: (310) 892-6295

The provider's authorized official is Justin White .
The authorized official title is Ceo and has the following contact phone number (310) 892-6295.

The CLIA number assigned to this NPI record is 05D2303887 - other - sud outpatient with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/3/2024 and was last updated on 4/14/2025.

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 HealthYes
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo

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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