| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1235283722 | PHOENIX HOUSES OF LOS ANGELES, INC. | 11600 ELDRIDGE AVE | LAKE VIEW TERRACE | CA | 913426506 | |||
| 1427594639 | PHOENIX HOUSES OF LOS ANGELES, INC. | 11600 ELDRIDGE AVE | LAKE VIEW TERRACE | CA | 913426506 |