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Organization
CHACH MEDICAL AID
Active
Organization
CHACH MEDICAL AID
Active
Other names
Chach Medical Aid
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TEDDY IDEHEN BSC (EXECUTIVE DIRECTOR)
(310) 675-7892
Entity
Organization
Contact information
Practice address
11633 HAWTHORNE BLVD STE 215, HAWTHORNE, CA 90250-2322
(310) 675-7892
Mailing address
11633 HAWTHORNE BLVD STE 215, HAWTHORNE, CA 90250-2322
(310) 675-7892
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RI-I0509270844
CA
Other
Enumeration date
04/19/2007
Last updated
08/22/2020
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