MEDICARE: HILLSIDE RECOVERY CENTER, LLC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1457298671
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HILLSIDE RECOVERY CENTER, LLC.

Provider Business Mailing Address
First Line	:	4613 WINNETKA CIR
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91364-4618
Country	:	US
Telephone Number	:	818-913-2938
Fax Number	:

Provider Business Practice Location Address
First Line	:	4613 WINNETKA CIR
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91364-4618
Country	:	US
Telephone Number	:	818-913-2938
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. ARMEN AKOPYAN
Credential	:
Telephone Number	:	818-913-2938

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/04/2026

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