WEST LA RECOVERY LLC NPI 1245096726

NPI Information

  • NPI: 1245096726
  • Provider Name: WEST LA RECOVERY LLC
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • CLIA Number: 05D2301654
  • Address: 1728 ABBOT KINNEY BLVD
    STE. 101 & STE. 103
    VENICE, CA
    ZIP 90291
  • Phone: (310) 439-1799

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NPI Details

WEST LA RECOVERY LLC is a rehabilitation and substance use disorder clinic center in Venice, CA. WEST LA RECOVERY LLC NPI is 1245096726. The provider is registered as an organization entity type.

The provider's business location address is:

1728 ABBOT KINNEY BLVD
STE. 101 & STE. 103
VENICE, CA
ZIP 90291-839
Phone: (310) 439-1799

The provider's authorized official is David A Marvin .
The authorized official title is Chief Executive Officer and has the following contact phone number (310) 592-0139.

The CLIA number assigned to this NPI record is 05D2301654 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/22/2024 and was last updated on 9/26/2025.

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
1261QM0850XClinic/CenterAdult Mental HealthNo
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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