Healthcare Provider Details

I. General information

NPI: 1609711167
Provider Name (Legal Business Name): SAINT RECOVERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4751 HASKELL AVE
ENCINO CA
91436-1624
US

IV. Provider business mailing address

4751 HASKELL AVE
ENCINO CA
91436-1624
US

V. Phone/Fax

Practice location:
  • Phone: 213-500-2207
  • Fax:
Mailing address:
  • Phone: 213-500-2207
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. EDUARD SOLOIAN
Title or Position: CEO
Credential:
Phone: 818-270-3572