Organization · Type 2 NPI

Alta Centers, Inc.

Substance Abuse Rehabilitation Facility · Los Angeles, CA

NPI number 1790288009 Active

Practice location

6100 Rodgerton Dr
Los Angeles, CA 90068-1964

Call (818) 616-7443 Map

Fax (818) 301-2046

Other practice locations

2172 Argyle Ave, Los Angeles, CA 90068-2924 · (818) 616-7443

Specialties and licenses

Taxonomy	Code	License
Substance Abuse Rehabilitation Facility Primary	324500000X	190852CP (CA)

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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NPI record

NPI: 1790288009
Entity type: Organization (Type 2)
Issued: Mar 13, 2018
Last updated: Sep 12, 2025
Status: Active
Subpart: Yes of Alta Centers, Inc

Other names

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Alta Centers · doing business as
Alta Centers, Inc. · doing business as

Authorized official

Anna Van Kovn
CEO
(818) 616-7443

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1790288009

Alta Centers, Inc.'s National Provider Identifier is 1790288009, issued on Mar 13, 2018. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 12, 2025.