Healthcare Provider Details

I. General information

NPI: 1760398937
Provider Name (Legal Business Name): MONARCH RECOVERY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15720 VENTURA BLVD STE 626
ENCINO CA
91436-4705
US

IV. Provider business mailing address

15720 VENTURA BLVD STE 626
ENCINO CA
91436-4705
US

V. Phone/Fax

Practice location:
  • Phone: 747-267-8637
  • Fax:
Mailing address:
  • Phone: 747-267-8637
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ELEN GEVORGYAN
Title or Position: CEO
Credential:
Phone: 747-267-8637