MEDICARE: REIGN RECOVERY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	323P00000X	Psychiatric Residential Treatment Facility
2	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1144018391
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REIGN RECOVERY INC

Provider Business Mailing Address
First Line	:	1289 S SYCAMORE AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90019-1550
Country	:	US
Telephone Number	:	323-356-3668
Fax Number	:

Provider Business Practice Location Address
First Line	:	1289 S SYCAMORE AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90019-1550
Country	:	US
Telephone Number	:	323-356-3668
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MRS. LISA MASLAVI
Credential	:	CADC
Telephone Number	:	323-356-3668

Provider Enumeration Date	:	04/28/2025
Last Update Date	:	02/09/2026

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Directions to “REIGN RECOVERY INC ” Practice Location

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