PACIFIC RECOVERY SOLUTIONS NPI 1215412879

NPI Information

  • NPI: 1215412879
  • Provider Name: PACIFIC RECOVERY SOLUTIONS
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Other Name: 7966 BEVERLY BLVD., SUITE 200
  • CLIA Number: 05D2157645
  • Address: 7966 BEVERLY BLVD FL 2
    LOS ANGELES, CA
    ZIP 90048
  • Phone: (918) 804-7684

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NPI Details

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.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation FacilityNo
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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