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

Ultimate Lifestyle Center

Organization Substance Use Disorder Rehabilitation Clinic/Center · NPI 1720344716

Ultimate Lifestyle Center is a Substance Use Disorder Rehabilitation Clinic/Center in Los Angeles, California. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

5012 S La Brea Ave
Los Angeles, CA 90056-1863
Phone: (323) 290-0200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X

Record details

NPI number1720344716
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Masha Lisitsa — Ceo · (323) 290-0200
NPI enumeratedApril 4, 2012
Last updated in NPPESApril 4, 2012
Mailing address5012 S La Brea Ave, Los Angeles, CA 90056-1863

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