| Clear Recovery Center, Llc | |
|
640 S San Vicente Blvd Ste 360 Los Angeles CA 90048-4654 | |
| (877) 799-1985 | |
| Not Available |
| Full Name | Clear Recovery Center, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 640 S San Vicente Blvd Ste 360, Los Angeles, California |
| Authorized Official Name and Position | Martha Brewer Koo (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3103182566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clear Recovery Center, Llc 18119 Prairie Ave Torrance CA 90504-3739 Ph: () - | Clear Recovery Center, Llc 640 S San Vicente Blvd Ste 360 Los Angeles CA 90048-4654 Ph: (877) 799-1985 |
| NPI Number | 1164206298 |
|---|---|
| Provider Enumeration Date | 08/21/2023 |
| Last Update Date | 08/21/2023 |
| Certification Date | 08/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164206298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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