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Organization subpart
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Provider details

NPI number
Authorized official
RANDY KOFF (FOUNDER)
(626) 797-9977
Entity
Organization

Contact information

Practice address
41655 DATE ST, SUITE 100, MURRIETA, CA 92562-7040
(626) 797-9977
(626) 844-2977
Mailing address
41655 DATE ST, SUITE 100, MURRIETA, CA 92562-7040
(626) 797-9977
(626) 844-2977

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—

Other

Enumeration date
11/22/2013
Last updated
11/22/2013
About Stedi
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