Organization
EL DORADO COMMUNITY SERVICE CENTER
Active
Other names
EL DORADO-LAWNDALE
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA ANN BLANKS (EXECUTIVE DIRECTOR)
(661) 254-6630
Entity
Organization
Contact information
Practice address
4023 MARINE AVE, LAWNDALE, CA 90260-1840
(310) 675-9555
Mailing address
26460 SUMMIT CIR, SANTA CLARITA, CA 91350-2991
(661) 254-6630
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
—
—
261QP2300X
Primary Care Clinic/Center
Primary
960000924
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19-136
—
CA
05
—
CMM70643F
—
CA
Enumeration date
09/28/2006
Last updated
10/31/2025
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