Individual
CARLOS GIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RADT
Contact information
Practice address
6005 YOLANDA AVE, TARZANA, CA 91356-1421
(818) 996-1051
Mailing address
6005 YOLANDA AVE, TARZANA, CA 91356-1421
(818) 996-1051
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RAC16116
CA
Other
Enumeration date
12/29/2020
Last updated
02/09/2023
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