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Organization
ADDICTION MEDICAL SERVICES
Active
Organization
ADDICTION MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES DATSON HERNDON PA-C (DIRECTOR)
(206) 852-8815
Entity
Organization
Contact information
Practice address
777 E TAHQUITZ CANYON WAY STE 46, PALM SPRINGS, CA 92262-6784
(206) 852-8815
(760) 406-6077
Mailing address
1250 OAKHURST CT, BEAUMONT, CA 92223-9705
(206) 852-8815
(760) 406-6077
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
PA16694
CA
Other
Enumeration date
01/16/2013
Last updated
01/23/2013
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