# MYLIFE RECOVERY CENTERS, A MEDICAL CORP.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MYLIFE RECOVERY CENTERS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1619372380
- **Legal business name:** MYLIFE RECOVERY CENTERS
- **Authorized official:** DR. ALBERT LAI M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (818) 736-5836

## Contact information

- **Practice address:** 108 LA CASA VIA, SUITE 106, WALNUT CREEK, CA 94598-3013
- **Practice address phone:** (925) 201-6400
- **Practice address fax:** (818) 736-5846
- **Mailing address:** 10061 RIVERSIDE DR, \#874, TOLUCA LAKE, CA 91602-2560
- **Mailing address phone:** (818) 736-5836
- **Mailing address fax:** (818) 736-5846

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | NULL | — |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/23/2014
- **Last updated:** 01/30/2017