310 RECOVERY INC. (NPI# 1104383694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104383694 |
| Entity Type | Organization |
| Organization Name | 310 RECOVERY INC. |
| Practice Address |
1723 1/2 Hauser Blvd Los Angeles CA 90019 |
| Mailing Address |
2233 Corinth Ave Los Angeles CA 90064-1601 |
| Practice Telephone | 3109359849 |
| Mailing Telephone | 3106638890 |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2019-02-21 |
| Authorized Official Name | MR. DANIEL MEDINA (DIRECTOR) |
| Authorized Official Telephone | 3107101652 |
| Is Organization Subpart | Y |
| Parent Organization Name | 310 RECOVERY INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| 310 Residential | Doing Business As Name - Organization |
| Street Address |
1723 1/2 HAUSER BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90019 |
| 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 |
| 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 |
| 1316296999 | Christian David Schmidt | Dentist | 5367 San Vicente Blvd, Apt 249, Los Angeles, CA 90019 | 2012-08-29 |
| Find all providers in zip 90019 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 1568827418 | The Haven At College | Clinic/Center | 817 W 34th St, 4th Floor, Los Angeles, CA 90089-0042 | 2015-12-19 |
| 1962867804 | Passages Beverlywood LLC | Clinic/Center | 2370 S Robertson Blvd, Los Angeles, CA 90034-2029 | 2015-12-18 |
| 1790156057 | Blvd Centers, Inc. | Clinic/Center | 1608 Sawtelle Blvd, Los Angeles, CA 90025-3114 | 2015-10-13 |
| 1013383314 | Help Center, Inc | Clinic/Center | 3710 W Martin Luther King Jr Blvd, Suite 133, Los Angeles, CA 90008-1793 | 2015-08-20 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90019 |
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| 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.