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Organization
DSP CCA, INC.
Active
Organization
DSP CCA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARICON PADUA PARDUCHO (OWNER/CHIEF OPERATING OFFICER)
(626) 587-0028
Entity
Organization
Contact information
Practice address
1815 E WORKMAN AVE STE D1, WEST COVINA, CA 91791-1423
(626) 587-0028
(626) 587-0031
Mailing address
1815 E WORKMAN AVE STE D1, WEST COVINA, CA 91791-1423
(626) 587-0028
(626) 587-0031
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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