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

Roccoya Octavia Edwards

Individual provider Substance Abuse Rehabilitation Facility · NPI 1750074886

Roccoya Octavia Edwards is a Substance Abuse Rehabilitation Facility in Los Angeles, California. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

12021 Wilmington Ave Ste 102
Los Angeles, CA 90059-3019
Phone: (424) 454-6001
Show map & directions

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

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X

Record details

NPI number1750074886
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 2, 2023
Last updated in NPPESJune 2, 2023
Certification dateJune 2, 2023

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