MEDICARE: NEWLIFE BEHAVIORAL HEALTH

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
3	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1679432256
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEWLIFE BEHAVIORAL HEALTH

Provider Business Mailing Address
First Line	:	516 N LA BREA AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90036-2016
Country	:	US
Telephone Number	:	310-272-3100
Fax Number	:	818-484-2389

Provider Business Practice Location Address
First Line	:	516 N LA BREA AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90036-2016
Country	:	US
Telephone Number	:	310-272-3100
Fax Number	:	818-484-2389

Authorized Official
Title or Position	:	CEO
Name	:	MR. MHER DANIELYAN
Credential	:
Telephone Number	:	310-272-3100

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/19/2026

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Directions to “NEWLIFE BEHAVIORAL HEALTH ” Practice Location

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