Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Life Rooted Foundation

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1538038203

Life Rooted Foundation is a Mental Illness Community Based Residential Treatment Facility in Los Angeles, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

9436 S Western Ave
Los Angeles, CA 90047-3856
Phone: (310) 591-8198
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X

Record details

NPI number1538038203
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marcus Hong — Administrator · (323) 646-2772
NPI enumeratedNovember 1, 2025
Last updated in NPPESNovember 1, 2025
Certification dateOctober 31, 2025
Mailing address619 S Fremont Ave Ste C, Alhambra, CA 91803-1337

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