O/G Recovery

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

O/G RECOVERY

Practice address

6078 Selma Ave
Los Angeles, CA 90028-6415

Phone

(310) 499-3112

NPI assigned

Aug 5, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gregory Adam Holden

Title

President

Phone

(310) 499-3112

Specialties & licenses 1

Addresses

Other names 1

• Grace Recovery Community Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533427200000",
    "number": "1437637014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12801 MILBANK ST",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916041354",
            "telephone_number": "310-499-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6078 SELMA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900286415",
            "telephone_number": "310-499-3112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6081 Harold Way",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900286403",
            "country_code": "US",
            "telephone_number": "310-499-3112",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6082 Selma Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900286415",
            "country_code": "US",
            "telephone_number": "310-499-3122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6083 Harold Way",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900286403",
            "country_code": "US",
            "telephone_number": "310-499-3112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "O/G RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-05",
        "last_updated": "2018-08-05",
        "status": "A",
        "authorized_official_last_name": "HOLDEN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-499-3112"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Recovery Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dana O'Rourke, MD
• Helen Mary O'Rourke
• Megan O'Rourke, PT, DPT
• Adele Marie O'Sullivan, M.D.
• Donal O'Sullivan
• Oa Medicals LLC
• Oak and Stone Marriage and Family Therapy, Inc.
• Caroline F Oak, PHARM.D.
• Steve Oak
• Daniel A. Oakes, M.D.

• Substance Abuse Rehabilitation Facility in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.