Provider Demographics
NPI:1154887768
Name:RECOVERY HEALTH GROUP, A PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:RECOVERY HEALTH GROUP, A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:424-256-8741
Mailing Address - Street 1:10880 WILSHIRE BLVD STE 1101
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-4112
Mailing Address - Country:US
Mailing Address - Phone:424-256-8741
Mailing Address - Fax:866-256-8741
Practice Address - Street 1:8605 SANTA MONICA BLVD PMB 28031
Practice Address - Street 2:WEST HOLLYWOOD
Practice Address - City:CA
Practice Address - State:CA
Practice Address - Zip Code:90024-4112
Practice Address - Country:US
Practice Address - Phone:424-240-8511
Practice Address - Fax:866-256-8741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-19
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction PsychiatryGroup - Multi-Specialty
No207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction MedicineGroup - Multi-Specialty