CLEAR RECOVERY CENTER, LLC
NPI 1164206298
Community/Behavioral Health in Los Angeles, CA
About Clear Recovery Center, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLEAR RECOVERY CENTER, LLC (NPI 1164206298), doing business as Clear Recovery Center, is a healthcare organization registered as a community/behavioral health in Los Angeles, California and active in the NPI registry since August 2023. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Los Angeles, and lists Martha Brewer Koo, Cmo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D2198375
Clear Recovery Center - 328 Prospect Ave · Redondo Beach, CACertificate of Waiver 05D2198376
Clear Recovery Center - 330 N Prospect Ave · Redondo Beach, CAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Clear Recovery Center, LLC's NPI number?
The NPI number for Clear Recovery Center, LLC is 1164206298. It was assigned to this organization in the NPPES registry on August 21, 2023. The provider is doing business as Clear Recovery Center.
Where is Clear Recovery Center, LLC located?
Clear Recovery Center, LLC is located at 640 S San Vicente Blvd Ste 360, Los Angeles, CA 90048. The listed phone number is (877) 799-1985.
What is Clear Recovery Center, LLC's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Does Clear Recovery Center, LLC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Clear Recovery Center, LLC was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Clear Recovery Center, Llc · NPI 1164206298
Community/Behavioral Health organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since August 21, 2023.
## Identity
- **NPI:** 1164206298 (Entity type: Organization)
- **Enumerated:** August 21, 2023
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Also known as:** Clear Recovery Center (Doing Business As)
- **Organization subpart:** Yes (part of Clear Recovery Center, Llc)
- **Authorized official:** Martha Koo, CMO
## Practice location
- **Address:** 640 S SAN VICENTE BLVD STE 360, Los Angeles, CA 90048-4654
- **Phone:** (877) 799-1985
## Record status
- **NPPES last updated:** October 23, 2025
- **Other identifiers:** Other 191266AP (CA)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1164206298) · Data from the CMS NPPES public registry.