Individual
CARLOS STEVEN HEREDIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
225 N MARIPOSA AVE, LOS ANGELES, CA 90004-4509
(323) 499-3650
Mailing address
652 HENDRICKS ST, MONTEBELLO, CA 90640-1549
(323) 499-3650
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22728
CA
Other
Enumeration date
12/10/2025
Last updated
12/10/2025
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