1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Substance Abuse Rehabilitation Facility
  6. NPI Profile

CONQUER RECOVERY CENTERS, INC.
NPI 1619598208
Substance Abuse Rehabilitation Facility in Los Angeles, CA

Active since May 05, 2020CLIA 05D2190950 · Waiver
1324 KENISTON AVE, LOS ANGELES, CA 90019(323) 391-3755(323) 851-4957 Get Directions Write a Review

NPPES record last updated: May 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Conquer Recovery Centers, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONQUER RECOVERY CENTERS, INC. (NPI 1619598208) is a healthcare organization registered as a substance abuse rehabilitation facility in Los Angeles, California and active in the NPI registry since May 2020. The organization holds a CLIA Waiver certificate valid through August 19, 2026 and lists David Davitian, Ceo, as its authorized official.

NPPES Registry Identity

NPI1619598208
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameCONQUER RECOVERY CENTERS, INC.
Location Address1324 KENISTON AVELos Angeles, CA 90019-1713
Mailing Address2360 Jupiter DrLos Angeles, CA 90046-2026 · (818) 262-0110 · Fax (323) 851-4957
Phone(323) 391-3755
Fax(323) 851-4957
Organization SubpartNo
Authorized OfficialDavid DavitianCeo · (818) 262-0110
Enumeration DateMay 5, 2020
NPPES CertifiedMay 5, 2020
✔ NPI 1619598208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
1324 KENISTON AVE, Los Angeles, CA 90019
Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA

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 05D2190950

Conquer Recovery Centers · Los Angeles, CA
Active · expires Aug 19, 2026
CLIA Number05D2190950
Laboratory TypeRecovery Center
Certificate Effective DateAugust 20, 2024
Certificate Expiration DateAugust 19, 2026
Laboratory DirectorLiepa Dagmar MD
Laboratory Phone(818) 262-0110
Laboratory LocationConquer Recovery Centers1324 Keniston Avenue, Los Angeles, CA 90019
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently 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 Conquer Recovery Centers, Inc.'s NPI number?

The NPI number for Conquer Recovery Centers, Inc. is 1619598208. It was assigned to this organization in the NPPES registry on May 5, 2020.

Where is Conquer Recovery Centers, Inc. located?

Conquer Recovery Centers, Inc. is located at 1324 Keniston Ave, Los Angeles, CA 90019. The listed phone number is (323) 391-3755.

What is Conquer Recovery Centers, Inc.'s specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Conquer Recovery Centers, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2190950) is associated with this NPI, valid through August 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Conquer Recovery Centers, Inc. was last updated on May 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.