# AMANECER COMMUNITY COUNSELING SERVICE, A NON-PROFIT CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336548189
- **Authorized official:** TEDDIE VALENZUELA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (213) 481-7464

## Contact information

- **Practice address:** 1200 WILSHIRE BLVD 200, 210, SUITE 300, LOS ANGELES, CA 90017-1934
- **Practice address phone:** (213) 481-7464
- **Practice address fax:** (213) 481-7147
- **Mailing address:** 1200 WILSHIRE BLVD 200, 210, SUITE 300, LOS ANGELES, CA 90017-1934
- **Mailing address phone:** (213) 481-7464
- **Mailing address fax:** (213) 481-7147

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 08/18/2014
- **Last updated:** 09/15/2021