Active NPI
West la Recovery, LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Venice, CA
National Provider Identifier
1245096726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- WEST LA RECOVERY, LLC
- Practice address
- 1728 Abbot Kinney Blvd
Ste. 101 & Ste. 103
Venice, CA 90291-4839 - Phone
- (310) 439-1799
- NPI assigned
- Feb 22, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David A Marvin, CEO
- Title
- Chief Executive Officer
- Phone
- (310) 592-0139
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
1728 Abbot Kinney Blvd
Ste. 101 & Ste. 103
Venice, CA 90291-4839
Mailing address
1728 Abbot Kinney Blvd
Ste. 101 & Ste. 103
Venice, CA 90291-4839
Phone (310) 439-1799
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2301654 | West la Recovery, Inc. | Certificate of waiver | Mar 27, 2028 |
National Provider Directory
National Provider DirectoryLocations
1728 Abbot Kinney Blvd
Ste 101
Venice, CA 90291
Phone (310) 439-1799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770163200000",
"number": "1245096726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1728 ABBOT KINNEY BLVD",
"address_2": "STE. 101 & STE. 103",
"city": "VENICE",
"state": "CA",
"postal_code": "902914839",
"telephone_number": "310-439-1799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1728 ABBOT KINNEY BLVD",
"address_2": "STE. 101 & STE. 103",
"city": "VENICE",
"state": "CA",
"postal_code": "902914839",
"telephone_number": "310-439-1799"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST LA RECOVERY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-22",
"last_updated": "2026-02-04",
"certification_date": "2026-02-04",
"status": "A",
"authorized_official_last_name": "MARVIN",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "310-592-0139",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CEO"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Venice, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.