Organization · Type 2 NPI

Authentic Recovery, Llc.

Substance Abuse Rehabilitation Facility · Los Angeles, CA

NPI number 1144971813 Active

Practice location

2207 Pelham Ave
Los Angeles, CA 90064-2006

Call (310) 726-3251 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
2203 Overland Ave, Los Angeles, CA 90064-2025 · (310) 807-5451

Specialties and licenses

Taxonomy	Code	License
Substance Abuse Rehabilitation Facility Primary	324500000X	None listed

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.

2 other providers at this address

Other substance abuse rehabilitation facility providers in Los Angeles

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NPI record

NPI: 1144971813
Entity type: Organization (Type 2)
Issued: Jan 14, 2022
Last updated: Jul 31, 2024
Status: Active

Other names

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Authentic Recovery Center, Pelham · doing business as
Casa Palmera Los Angeles · doing business as

Authorized official

Magdalen Gustilo
Director of Payer Relations
(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 1144971813

Authentic Recovery, Llc.'s National Provider Identifier is 1144971813, issued on Jan 14, 2022. 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 Jul 31, 2024.