| West La Recovery Llc | |
|
1728 Abbot Kinney Blvd Venice CA 90291-4839 | |
| (310) 439-1799 | |
| Not Available |
| Full Name | West La Recovery Llc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 1728 Abbot Kinney Blvd, Venice, California |
| Authorized Official Name and Position | David A Marvin (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3105920139 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West La Recovery Llc 1728 Abbot Kinney Blvd Venice CA 90291-4839 Ph: (310) 439-1799 | West La Recovery Llc 1728 Abbot Kinney Blvd Venice CA 90291-4839 Ph: (310) 439-1799 |
| NPI Number | 1245096726 |
|---|---|
| Provider Enumeration Date | 02/22/2024 |
| Last Update Date | 02/23/2024 |
| Certification Date | 02/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245096726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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