| Recover Integrity | |
|
12301 Wilshire Blvd Ste 206 Los Angeles CA 90025-1000 | |
| (310) 294-9030 | |
| Not Available |
| Full Name | Recover Integrity |
|---|---|
| Speciality | Clinic/center |
| Location | 12301 Wilshire Blvd Ste 206, Los Angeles, California |
| Authorized Official Name and Position | Yeshaia Blakeney (CEO) |
| Authorized Official Contact | 3102949030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Recover Integrity 12301 Wilshire Blvd Ste 206 Los Angeles CA 90025-1000 Ph: (310) 294-9030 | Recover Integrity 12301 Wilshire Blvd Ste 206 Los Angeles CA 90025-1000 Ph: (310) 294-9030 |
| NPI Number | 1619333002 |
|---|---|
| Provider Enumeration Date | 01/14/2016 |
| Last Update Date | 05/07/2021 |
| Certification Date | 05/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619333002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| 261QR0401X | Clinic/center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (corf) | () | Secondary |
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