Organization · Type 2 NPI

Authentic Recovery, Llc.

Substance Abuse Rehabilitation Facility · Los Angeles, CA

NPI number 1114173036 Active

Practice location

2203 Overland Ave
Los Angeles, CA 90064-2025

Call (310) 807-5451 Map

Mailing address

18401 Von Karman Ave Ste 500
Irvine, CA 92612-8531

Other practice locations

10700 Cushdon Ave, Los Angeles, CA 90064-3219 · (310) 388-9612
2207 Pelham Ave, Los Angeles, CA 90064-2006 · (310) 726-3251

Specialties and licenses

Taxonomy	Code	License
Substance Abuse Rehabilitation Facility Primary	324500000X	190577AP (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: 1114173036
Entity type: Organization (Type 2)
Issued: Aug 12, 2008
Last updated: Dec 30, 2025
Status: Active

Other names

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Casa Palmera Los Angeles · doing business as
Casa Palmera Los Angeles · doing business as
Cliffside West La, Overland · doing business as

Authorized official

Magdalen Gustilo
AVP Payer Relations & Strategy
(714) 568-7667

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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 1114173036

Authentic Recovery, Llc.'s National Provider Identifier is 1114173036, issued on Aug 12, 2008. 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 Dec 30, 2025.