Healthcare Provider Details

I. General information

NPI: 1316212269
Provider Name (Legal Business Name): MOTIVATIONAL RECOVERY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2012
Last Update Date: 05/08/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2116 & 2118 S. CENTRAL AVE.
LOS ANGELES CA
90011
US

IV. Provider business mailing address

2116 & 2118 S. CENTRAL AVE.
LOS ANGELES CA
90011
US

V. Phone/Fax

Practice location:
  • Phone: 213-493-4664
  • Fax: 213-493-4665
Mailing address:
  • Phone: 213-493-4664
  • Fax: 213-493-4665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NARINE MALKHASYAN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 213-493-4664