Conquer Recovery Centers, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

CONQUER RECOVERY CENTERS, INC.

Practice address

1324 Keniston Ave
Los Angeles, CA 90019-1713

Phone

(323) 391-3755

Fax

(323) 851-4957

NPI assigned

May 5, 2020

Organization subpart

No

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

Authorized official

Name

Mr. David Davitian, BA

Title

Ceo

Phone

(818) 262-0110

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dagmar I Liepa, MD

  • General Practice Physician
  • Van Nuys, CA
  • NPI 1881742047
  NPD (past)

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588636800000",
    "number": "1619598208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 JUPITER DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900462026",
            "telephone_number": "818-262-0110",
            "fax_number": "323-851-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 KENISTON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900191713",
            "telephone_number": "323-391-3755",
            "fax_number": "323-851-4957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONQUER RECOVERY CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-05",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A",
        "authorized_official_last_name": "DAVITIAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-262-0110",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shihevia Capric Connor
• Stephen Francis Connor, RN
• Connors Psychology Professional Corporation
• Prusha Paktinat Connors, PA-C
• Matthew Ellis Conolly, MD
• Conquer Wellness Physical Therapy Inc
• Alexis Conrad, M.A., LMFT
• Aliese Conrad
• Ava Conrad
• Andrea Conrado

• 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 May 5, 2020; 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.

Verify at the official NPI Registry.