Organization
LA MESA HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STAN SHARMA PHD (C E O)
(166) 125-4660
Entity
Organization
Contact information
Practice address
7520 EL CAJON BLVD, LA MESA, CA 91942-7803
(661) 254-6630
Mailing address
26460 SUMMIT CIR, SANTA CLARITA, CA 91350-2991
(661) 254-6630
(661) 254-6644
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
1234
CA
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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