Conquer Recovery Centers, Inc.
Substance Abuse Rehabilitation Facility

Address: 1324 Keniston Ave, Los Angeles, CA 90019-1713
Phone: 3233913755

Conquer Recovery Centers, Inc. (NPI# 1619598208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1619598208
Entity Type Organization
Practice Address 1324 Keniston Ave
Los Angeles
CA 90019-1713
Practice Telephone 3233913755
Practice Fax Number 3238514957
Mailing Address 2360 Jupiter Dr
Los Angeles
CA 90046-2026
Mailing Telephone 8182620110
Mailing Fax Number 3238514957
Authorized Official Name Mr. David Davitian (CEO)
Authorized Official Telephone 8182620110
Authorized Official Credential BA
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-05-05
Last Update Date 2020-05-05

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities

Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

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.
Notes: [7/1/2003: modified title, modified definition]

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1396354577 First Step Forward, Inc Substance Abuse Rehabilitation Facility 7523 S Western Ave, Los Angeles, CA 90047-2430 2020-07-23
1417595547 Forward Recovery Solutions, LLC Substance Abuse Rehabilitation Facility 1428 Roxbury Dr, Los Angeles, CA 90035-2815 2019-12-19
1245878917 Profound Treatment, LLC Substance Abuse Rehabilitation Facility 1990 Westwood Blvd Ste 305, Los Angeles, CA 90025-6596 2019-12-12
1245883594 Vivian C Aranda Substance Abuse Rehabilitation Facility 4617 Zane St, Los Angeles, CA 90032-2039 2019-07-16
1770141764 310 Recovery Substance Abuse Rehabilitation Facility 1741 Hauser Blvd, Los Angeles, CA 90019-5111 2019-06-04
1689132284 Mama and Papa Bear's Innovations, Inc Substance Abuse Rehabilitation Facility 5324 Fountain Ave, Los Angeles, CA 90029-1005 2019-03-04
1053884775 Melrose Recovery, LLC. Substance Abuse Rehabilitation Facility 1253 N Commonwealth Ave, Los Angeles, CA 90029 2019-01-04
1669941811 Cnv Detox Inc. Substance Abuse Rehabilitation Facility 5919 W 74th St, Los Angeles, CA 90045-1601 2018-11-16
Find all providers in LOS ANGELES

Office Location

Street Address 1324 KENISTON AVE
State CA
Zip Code 90019-1713

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386299139 Garfield Beach Cvs LLC Durable Medical Equipment & Medical Supplies 1302 South La Brea, Los Angeles, CA 90019 2019-08-08
1104383694 310 Recovery Inc. Clinic/Center 1723 1/2 Hauser Blvd, Los Angeles, CA 90019 2019-02-21
1184131328 Sehyeong Son Acupuncturist 1722 Crenshaw Blvd, Los Angeles, CA 90019 2018-01-09
1285158154 Vanessa A. Myrie Social Worker 5562 Packard St., Los Angeles, CA 90019 2017-08-01
1093241309 Hamburger Home Community/Behavioral Health 4066 W. 17th Street, Los Angeles, CA 90019 2017-05-05
1639614779 Jung Ho Kang Acupuncturist 903 S. Crenshaw Blvd #304a, Los Angeles, CA 90019 2016-12-28
1912353491 Sung Won Lee Acupuncturist 4027 W. Pico Bl., Los Angeles, CA 90019 2016-05-13
1497188528 Sfvcmhc Community/Behavioral Health 5754 San Vicente Blvd, 401, Los Angeles, CALIFORNIA 90019 2013-08-13
1467890160 Denise Breheny Lactation Consultant, Non-RN 1053 Carmona Ave., Los Angeles, CA 90019 2013-06-05
1336483122 Nancy Denise - Latten Davidson Student in an Organized Health Care Education/Training Program 4073-75 West Pico Blvd, Los Angeles, CA 90019 2012-11-16
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Zip Code 90019

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.