Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
KIMBO DRUG & ALCOHOL REHABILITATION SERVICES
Active
Organization
KIMBO DRUG & ALCOHOL REHABILITATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KESTER JACKSON OUDNEY LICENSE PSYCH TECH (PROGRAM DIRECTOR)
(310) 549-5532
Entity
Organization
Contact information
Practice address
407 N AVALON BLVD, WILMINGTON, CA 90744-5803
(310) 549-5532
Mailing address
407 N AVALON BLVD, WILMINGTON, CA 90744-5803
(310) 549-5532
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/14/2007
Last updated
12/14/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up