EXODUS RECOVERY, INC. (NPI# 1831421387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831421387 |
| Entity Type | Organization |
| Organization Name | EXODUS RECOVERY, INC. |
| Practice Address |
1920 Marengo St Los Angeles CA 90033-1317 |
| Mailing Address |
9808 Venice Blvd Ste 700 Culver City CA 90232-6824 |
| Practice Telephone | 3109453350 |
| Mailing Telephone | 3109453350 |
| Mailing Fax Number | 3108407023 |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2010-02-09 |
| Authorized Official Name | LEEANN SKOROHOD (SR VP, OPERATIONS) |
| Authorized Official Telephone | 3109453350 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PTAN | CP707A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184272395 | Exodus Recovery, Inc. | Community/Behavioral Health | 550 W Vista Way Ste 204, Vista, CA 92083-5736 | 2019-08-30 |
| 1124596291 | Exodus Recovery, Inc. | Community/Behavioral Health | 550 W Vista Way Ste 109, Vista, CA 92083-5707 | 2018-11-07 |
| 1104307164 | Exodus Recovery, Inc. | Community/Behavioral Health | 1000 W Carson St Rm 2022, Bldg 2 South, Torrance, CA 90502-2004 | 2018-08-27 |
| 1740771559 | Exodus Recovery, Inc. | Community/Behavioral Health | 12021 S Wilmington Ave Fl 2, Ic1-ic7, Los Angeles, CA 90059-3019 | 2018-05-29 |
| 1184169815 | Exodus Recovery, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3754-56 Overland Ave, Los Angeles, CA 90034-6312 | 2017-01-04 |
| 1356711436 | Exodus Recovery, Inc. | Community/Behavioral Health | 8513 S Vermont Ave, Los Angeles, CA 90044-3425 | 2015-10-01 |
| 1083943005 | Exodus Recovery, Inc. | Community/Behavioral Health | 4308 30th St, Suite A, San Diego, CA 92104-1314 | 2009-12-22 |
| 1053598979 | Exodus Recovery, Inc. | Community/Behavioral Health | 524 W Vista Way # 55, Vista, CA 92083-5704 | 2008-01-22 |
| 1437704806 | Exodus Recovery, Inc. | Community/Behavioral Health | 11905 S Central Ave Ste 303, Los Angeles, CA 90059-2897 | 2019-08-02 |
| 1235600545 | Exodus Recovery, Inc. | Community/Behavioral Health | 1520 S Escondido Blvd, Escondido, CA 92025-6017 | 2018-12-12 |
| Street Address |
1920 MARENGO ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90033-1317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730270828 | Parvaneh Afshari | Nurse Practitioner | 1920 Marengo St, Los Angeles, CA 90033-1317 | 2006-09-27 |
| 1982021481 | Courtney Hutton | Social Worker | 1920 Marengo St, Los Angeles, CA 90033-1317 | 2014-03-21 |
| 1427398015 | Brandy Y Leos | Licensed Vocational Nurse | 1920 Marengo St, Los Angeles, CA 90033-1317 | 2013-02-19 |
| 1497009245 | Los Angeles Christian Health Centers | Clinic/Center | 1920 Marengo St, Los Angeles, CA 90033-1317 | 2012-11-01 |
| 1891043949 | Ericka Vanessa Mendoza | Rehabilitation Practitioner | 1920 Marengo St, 2nd Floor, Los Angeles, CA 90033-1317 | 2012-08-21 |
| 1740560754 | Alexis Asher | Marriage & Family Therapist | 1920 Marengo St, Los Angeles, CA 90033-1317 | 2011-08-22 |
| 1568771236 | Exodus Recovery, Inc. | Community/Behavioral Health | 1920 Marengo St, Los Angeles, CA 90033-1317 | 2010-09-29 |
| 1720316979 | Mengfen Chang Moseley | Nurse Practitioner | 1920 Marengo St, Los Angeles, CA 90033 | 2009-11-30 |
| 1699929679 | Randye Kay | Registered Nurse | 1920 Marengo St, Los Angeles, CA 90033-1317 | 2008-11-04 |
| 1568611358 | Amanda Jo Moore | Psychiatry & Neurology | 1920 Marengo St, Exodus Recovery, Los Angeles, CA 90033 | 2008-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376165050 | Noa Yee | Student in an Organized Health Care Education/Training Program | 1200 N. State Street, Gnh 1011, Los Angeles, CA 90033 | 2020-05-15 |
| 1629690144 | Monica Lopez | Respiratory Therapist, Registered | 1251 Marengo St, Los Angeles, CA 90033 | 2020-05-07 |
| 1649890401 | Antonio Hernandez Saenz | Student in an Organized Health Care Education/Training Program | 1200 N. State Street Gnh 1060k, Los Angeles, CA 90033 | 2020-04-22 |
| 1417585100 | Kelsey Grace Shea | Student in an Organized Health Care Education/Training Program | 1200 N State St Ird 112, Los Angeles, CA 90033 | 2020-03-30 |
| 1891322780 | Carolyn Kan | Student in an Organized Health Care Education/Training Program | 1200 North State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033 | 2020-03-23 |
| 1902445786 | Maury M Hopkins | Registered Nurse | 1883 Marengo Street, Los Angeles, CA 90033 | 2019-12-27 |
| 1982259792 | Beverly Austin Mccabe | Registered Nurse | 1720 E. Cesar Chavez Ave., Los Angeles, CA 90033 | 2019-08-08 |
| 1093369399 | Christine Yoon | Pharmacist | 1611 E Cesar Chavez Ave, Los Angeles, CA 90033 | 2019-07-25 |
| 1073075339 | Johanna Keller | Student in an Organized Health Care Education/Training Program | La County +usc Medical Center, 2051 Marengo Street, Los Angeles, CA 90033 | 2019-04-04 |
| 1386115137 | Sonya Lorain Earley | Physician Assistant | 2020 Zonal Avenue, Ird 626, Los Angeles, CA 90033 | 2018-12-05 |
| Find all providers in zip 90033 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881861 | Griselda Tuchan Pineda Marriage and Family Therapist Inc | Community/Behavioral Health | 2820 S Vermont Ave Ste 16, Los Angeles, CA 90007-2291 | 2020-11-04 |
| 1376142216 | Melissa Reyes Aguilar | Community/Behavioral Health | 2248 S Cochran Ave, Los Angeles, CA 90016-1218 | 2020-10-21 |
| 1841807666 | Didi Hirsch Psychiatric Service | Community/Behavioral Health | 10101 S Broadway, Los Angeles, CA 90003-4534 | 2020-09-25 |
| 1730795188 | Connect Therapies | Community/Behavioral Health | 801 S Beverly Glen Blvd, Los Angeles, CA 90024-4603 | 2020-09-21 |
| 1396358735 | United Therapy Center,inc | Community/Behavioral Health | 12777 W Jefferson Blvd # D3020, Los Angeles, CA 90066-7048 | 2020-08-25 |
| 1174149769 | Amanecer Community Counseling Service, A Non-profit Corporation | Community/Behavioral Health | 3750 W 6th St, Los Angeles, CA 90020-5100 | 2020-06-19 |
| 1902421290 | Exceptional Wellness of California Incorporated | Community/Behavioral Health | 626 Wilshire Blvd Ste 410, Los Angeles, CA 90017-2915 | 2020-06-11 |
| 1043831878 | Didi Hirsch Psychiatric Service | Community/Behavioral Health | 9179 S Main Street, Los Angeles, CA 90003 | 2020-05-04 |
| 1780226977 | Children's Institute, Inc. | Community/Behavioral Health | 7001 S St Andrews Pl, Los Angeles, CA 90047-1833 | 2019-10-09 |
| 1780238675 | Igcn Healthcare Partners | Community/Behavioral Health | 6153 Colgate Ave, Los Angeles, CA 90036-3127 | 2019-07-29 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90033 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.