MEDICARE: THE PEAK EXPERIENCE LLC

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	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1316805419
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE PEAK EXPERIENCE LLC

Provider Business Mailing Address
First Line	:	2462 SOLAR DR
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90046-1741
Country	:	US
Telephone Number	:	213-772-2702
Fax Number	:

Provider Business Practice Location Address
First Line	:	2462 SOLAR DR
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90046-1741
Country	:	US
Telephone Number	:	213-772-2702
Fax Number	:

Authorized Official
Title or Position	:	CO-FOUNDER
Name	:	MRS. GLYNIS CLEMENTINA FRANZ
Credential	:
Telephone Number	:	310-405-2679

Provider Enumeration Date	:	01/15/2026
Last Update Date	:	01/15/2026

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Directions to “THE PEAK EXPERIENCE LLC ” Practice Location

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