Healthcare Provider Details

I. General information

NPI: 1356049621
Provider Name (Legal Business Name): HOPE DETOX CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2023
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13825 WEDDINGTON ST
SHERMAN OAKS CA
91401-5827
US

IV. Provider business mailing address

14120 VENTURA BLVD # C421
SHERMAN OAKS CA
91423-2779
US

V. Phone/Fax

Practice location:
  • Phone: 818-631-1545
  • Fax:
Mailing address:
  • Phone: 818-631-1545
  • Fax: 818-337-7982

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: MERUZHAN AKOPYAN
Title or Position: CEO
Credential:
Phone: 818-631-1545