OrganizationActive
Authentic Recovery, LLC.
NPI 1114173036 · Substance Abuse Rehabilitation Facility · Los Angeles, CA
Provider details
- NPI number
- 1114173036
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Magdalen Gustilo, Avp Payer Relations & Strategy(714) 568-7667
- License
- 190577AP (CA)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(96/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2203 Overland Ave
Los Angeles, CA 90064-2025
Phone: (310) 807-5451
Street-level locationGet directions
Mailing address
18401 Von Karman Ave Ste 500
Irvine, CA 92612-8531
Other names (DBA / former)
- Doing business as
- Casa Palmera Los Angeles
- Doing business as
- Casa Palmera Los Angeles
- Doing business as
- Cliffside West La, Overland
Additional practice locations (2)
- 10700 Cushdon AveLos Angeles, CA 90064-3219Phone: (310) 388-9612
- 2207 Pelham AveLos Angeles, CA 90064-2006Phone: (310) 726-3251
Registry dates
- Enumerated
- 2008-08-12
- Last updated
- 2025-12-30
- Certified
- 2025-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.