Organization Active NPI

Montebello Recovery Center

  • Substance Abuse Rehabilitation Facility
  • Montebello, CA
National Provider Identifier
1821925819
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
MONTEBELLO RECOVERY CENTER
Practice address
1018 W Yorktown Ave
Montebello, CA 90640-2557
Phone
(323) 314-9464
Fax
(323) 314-9464
NPI assigned
May 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Authorized official

Name
Yenok Kopushyan
Title
Cfo
Phone
(323) 314-9464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1018 W Yorktown Ave
Montebello, CA 90640-2557

Mailing address

1018 W Yorktown Ave
Montebello, CA 90640-2557
Phone (323) 314-9464

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1777939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1821925819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 W YORKTOWN AVE",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906402557",
            "telephone_number": "323-314-9464",
            "fax_number": "323-314-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 W YORKTOWN AVE",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906402557",
            "telephone_number": "323-314-9464",
            "fax_number": "323-314-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEBELLO RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-05",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "KOPUSHYAN",
        "authorized_official_first_name": "YENOK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "323-314-9464"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.