Healthcare Provider Details

I. General information

NPI: 1487244174
Provider Name (Legal Business Name): HIFI RECOVERY CORPS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2021
Last Update Date: 06/09/2021
Certification Date: 06/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

443 N MOUNTAIN VIEW AVE
LOS ANGELES CA
90026-9002
US

IV. Provider business mailing address

242 N BURLINGTON AVE
LOS ANGELES CA
90026-5420
US

V. Phone/Fax

Practice location:
  • Phone: 562-346-4835
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MARICEL RAMOS
Title or Position: CEO
Credential:
Phone: 562-346-4835