NPI:
1215412879
Provider Name:
PACIFIC RECOVERY SOLUTIONS
Other Name: 7966 BEVERLY BLVD., SUITE 200
Classification:
Clinic/Center - 261QR0405X
Entity Type:
Organization
Specialization: Rehabilitation, Substance Use Disorder
CLIA Number: 05D2157645
Address:
7966 BEVERLY BLVD FL 2
LOS ANGELES, CA
ZIP 90048
Phone:
(918) 804-7684
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PACIFIC RECOVERY SOLUTIONS is a rehabilitation and substance use disorder clinic center in Los Angeles, CA. PACIFIC RECOVERY SOLUTIONS NPI is 1215412879. The provider is registered as an organization entity type.
The provider Other Name Is 7966 Beverly Blvd., Suite 200.
The provider's business location address is:
7966 BEVERLY BLVD FL 2
LOS ANGELES, CA
ZIP 90048-511
Phone: (918) 804-7684
The provider's authorized official is Justin White .
The authorized official title is Ceo and has the following contact phone number (310) 892-6295.
The CLIA number assigned to this NPI record is 05D2157645 - other - outpatient treatment with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/30/2018 and was last updated on 1/10/2022.