Healthcare Provider Details

I. General information

NPI: 1013625250
Provider Name (Legal Business Name): REGGIES RECOVERY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2022
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9250 DEL ARROYO DR
SUN VALLEY CA
91352-2203
US

IV. Provider business mailing address

9250 DEL ARROYO DR
SUN VALLEY CA
91352-2203
US

V. Phone/Fax

Practice location:
  • Phone: 818-940-6697
  • Fax:
Mailing address:
  • Phone: 818-940-6697
  • 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. DANIEL SPENCER SMARIO
Title or Position: PROGRAM DIRECTOR
Credential: RAC
Phone: 818-940-6697