Organization
LOS ANGELES REHAB & DETOX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL WONDIMU (CEO)
(626) 348-9144
Entity
Organization
Contact information
Practice address
11853 BLYTHE ST, NORTH HOLLYWOOD, CA 91605-2506
(626) 348-9144
Mailing address
11853 BLYTHE ST, NORTH HOLLYWOOD, CA 91605-2506
(626) 348-9144
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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