Organization
AUTHENTIC RECOVERY, LLC.
Active
Other names
Cliffside West LA, Overland, Casa Palmera Los Angeles
Organization subpart
No
Provider details
NPI number
Authorized official
MAGDALEN GUSTILO (AVP PAYER RELATIONS & STRATEGY)
(714) 568-7667
Entity
Organization
Contact information
Practice address
2203 OVERLAND AVE, LOS ANGELES, CA 90064-2025
(310) 807-5451
Mailing address
18401 VON KARMAN AVE STE 500, IRVINE, CA 92612-8531
(714) 828-1800
(714) 882-1186
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190577AP
CA
Other
Enumeration date
08/12/2008
Last updated
12/30/2025
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