Organization
LEGENDARY RECOVERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAKOP KZLGEZYAN (CEO)
(818) 934-2200
Entity
Organization
Contact information
Practice address
16200 VENTURA BLVD STE 210, ENCINO, CA 91436-4644
(747) 304-4565
Mailing address
16200 VENTURA BLVD STE 210, ENCINO, CA 91436-4644
(747) 304-4565
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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