Organization
AMANECER COMMUNITY COUNSELING SERVICE, A NON-PROFIT CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEDDIE VALENZUELA (EXECUTIVE DIRECTOR)
(213) 481-7464
Entity
Organization
Contact information
Practice address
1200 WILSHIRE BLVD 200, 210, SUITE 300, LOS ANGELES, CA 90017-1934
(213) 481-7464
(213) 481-7147
Mailing address
1200 WILSHIRE BLVD 200, 210, SUITE 300, LOS ANGELES, CA 90017-1934
(213) 481-7464
(213) 481-7147
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
08/18/2014
Last updated
09/15/2021
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