Organization
2ND CHANCE FOR RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OGANES JOHN HAKOPYAN (EXECUTIVE DIRECTOR)
(213) 537-0110
Entity
Organization
Contact information
Practice address
1655 E 27TH ST STE B, LOS ANGELES, CA 90011-2202
(213) 537-0110
Mailing address
600 E 7TH ST STE 105, LOS ANGELES, CA 90021-1439
(213) 537-0110
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7404
—
CA
Enumeration date
02/05/2013
Last updated
02/05/2013
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