MEDICARE: CLEAR INNOVATIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QR0400X	Rehabilitation Clinic/Center
2	3104A0625X	Assisted Living Facility (Mental Illness)
3	261QR0401X	Comprehensive Outpatient Rehabilitation Facility (CORF)
4	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1275344996
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLEAR INNOVATIONS LLC

Provider Business Mailing Address
First Line	:	568 E 224TH ST
Second Line	:
City	:	CARSON
State	:	CA
Zip	:	90745-4002
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	568 E 224TH ST
Second Line	:
City	:	CARSON
State	:	CA
Zip	:	90745-4002
Country	:	US
Telephone Number	:	800-347-4656
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. GARY SARRIA
Credential	:
Telephone Number	:	800-347-4656

Provider Enumeration Date	:	01/14/2025
Last Update Date	:	01/14/2025

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Directions to “CLEAR INNOVATIONS LLC ” Practice Location

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