Organization
NOVO DETOX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW ZIERING (CFO)
(310) 663-8890
Entity
Organization
Contact information
Practice address
11346 THURSTON PL, LOS ANGELES, CA 90049-2429
(602) 430-7543
Mailing address
10533 WASHINGTON BLVD, CULVER CITY, CA 90232-3311
(310) 663-8890
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190982AP
STATE LICENSE
CA
Enumeration date
08/23/2017
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us