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Organization
SGVC
Active
Organization
SGVC
Active
Parent organization
CALIFORNIA HISPANIC COMMISSION ON ALCOHOL AND DRUG ABUSE, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CALIFORNIA HISPANIC COMMISSION ON ALCOHOL AND DRUG ABUSE, INC
Authorized official
MR. HENRY JOHN ALONZO B.A. (PROJECT DIRECTOR)
(626) 444-9000
Entity
Organization
Contact information
Practice address
11046 VALLEY MALL, EL MONTE, CA 91731-2617
(626) 444-9000
(626) 444-9044
Mailing address
11046 VALLEY MALL, EL MONTE, CA 91731-2617
(626) 444-9000
(626) 444-9044
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0298610
MEDICAL
CA
Enumeration date
11/02/2013
Last updated
11/02/2013
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