Living Proof Recovery Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

190316BP Issued in CA

Legal business name

LIVING PROOF RECOVERY CENTER

Practice address

324 W Foothill Blvd
Monrovia, CA 91016-2149

Phone

(626) 205-2518

Fax

(626) 446-5910

NPI assigned

Feb 9, 2009

Last updated

May 17, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gerald M Pool, LAADC, CADCII, S.A.P

Title

Owner/Director of Operations

Phone

(626) 205-2518

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368748800000",
    "number": "1790924132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2420",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910176420",
            "telephone_number": "626-205-2518",
            "fax_number": "626-446-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 W FOOTHILL BLVD",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910162149",
            "telephone_number": "626-205-2518",
            "fax_number": "626-446-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING PROOF RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-09",
        "last_updated": "2013-05-17",
        "status": "A",
        "authorized_official_last_name": "POOL",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "626-205-2518",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LAADC, CADCII, S.A.P"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "190316BP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF ALCOHOL AND DRUG PROGRAMS",
            "identifier": "190316BP",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anakkhu Litvinoff
• Helen Liu
• Thomas Ting-Wei Liu, OTR/L, OTD, CHT
• Yi-an Liu
• Adriana Liversedge
• Jordan Livingston
• Kierra Livingston
• Dalma Lizama
• Rebekah Lizama
• Estrella Lizarraga

• Community/Behavioral Health Agency in Monrovia, CA
• Providers in Monrovia, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; 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.