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Organization
LA JOLLA ADDICTION HEALING CENTER
Active
Organization
LA JOLLA ADDICTION HEALING CENTER
Active
Parent organization
LA JOLLA ADDICTION HEALING CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
LA JOLLA ADDICTION HEALING CENTER
Authorized official
KAMRAN ZAFAR (CEO)
(858) 775-7752
Entity
Organization
Contact information
Practice address
9834 GENESEE AVENUE, SUITE 427, LA JOLLA, CA 92037
(858) 454-4357
(858) 291-8611
Mailing address
7590 FAY AVENUE, SUITE 401, LA JOLLA, CA 92037
(858) 454-4357
(858) 291-8611
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
370165AP
CA
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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