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Organization

LOS ANGELES CENTERS FOR ALCOHOL AND DRUG ABUSE

Active
Other names
L.A. CADA
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JUAN NAVARRO (ACTING EXECUTIVE DIRECTOR)
(562) 906-2686
Entity
Organization

Contact information

Practice address
9515 HANEY ST, ROOM 7, PICO RIVERA, CA 90660-3622
(562) 906-2676
Mailing address
11015 BLOOMFIELD AVE, SANTA FE SPRINGS, CA 90670-4601

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
190100BN
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MEDICAL PROVIDER NUM
1937
CA
Enumeration date
07/20/2015
Last updated
07/20/2015
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