Healthcare Provider Details

I. General information

NPI: 1073469516
Provider Name (Legal Business Name): NEW EARTH ORGANIZATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2026
Last Update Date: 03/06/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12100 W WASHINGTON BLVD
LOS ANGELES CA
90066-5502
US

IV. Provider business mailing address

12100 W WASHINGTON BLVD
LOS ANGELES CA
90066-5502
US

V. Phone/Fax

Practice location:
  • Phone: 805-284-1279
  • Fax:
Mailing address:
  • Phone: 805-284-1279
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3245S0500X
TaxonomyChildren's Substance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. ARIANA JUDITH ZEPEDA
Title or Position: DEPUTY DIRECTOR
Credential: LCSW
Phone: 805-284-1279