MEDICARE: HOPE DETOX CENTER 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	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1356049621
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPE DETOX CENTER LLC

Provider Business Mailing Address
First Line	:	7930 ETHEL AVE
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91605-1942
Country	:	US
Telephone Number	:	818-631-1545
Fax Number	:

Provider Business Practice Location Address
First Line	:	7930 ETHEL AVE
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91605-1942
Country	:	US
Telephone Number	:	818-631-1545
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MERUZHAN AKOPYAN
Credential	:
Telephone Number	:	818-631-1545

Provider Enumeration Date	:	02/16/2023
Last Update Date	:	05/22/2026

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Directions to “HOPE DETOX CENTER LLC ” Practice Location

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