Healthcare Provider Details

I. General information

NPI: 1659400638
Provider Name (Legal Business Name): HAMBURGER HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7120 FRANKLIN AVE
LOS ANGELES CA
90046-3002
US

IV. Provider business mailing address

7120 FRANKLIN AVE
LOS ANGELES CA
90046-3002
US

V. Phone/Fax

Practice location:
  • Phone: 323-876-5000
  • Fax: 323-436-7042
Mailing address:
  • Phone: 323-876-5000
  • Fax: 323-436-7042

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. AMBER RIVAS
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 323-876-0550