Individual
AHMAD TEJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCAPP
Contact information
Practice address
2307 W 6TH ST, LOS ANGELES, CA 90057-3119
(213) 351-2800
Mailing address
5715 S BROADWAY, LOS ANGELES, CA 90037-4131
(323) 628-3408
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
075563
CA
Other
Enumeration date
01/25/2017
Last updated
09/17/2024
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