Organization
PACIFIC ASIAN ALCOHOL AND DRUG PROGRAM
Active
Parent organization
SPECIAL SERVICE FOR GROUPS
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECIAL SERVICE FOR GROUPS
Authorized official
DR. LEO P. PANDAC PH.D. (PROGRAM DIRECTOR)
(213) 413-1622
Entity
Organization
Contact information
Practice address
2001 BEVERLY BLVD STE 201, LOS ANGELES, CA 90057-2400
(213) 413-1622
(213) 413-5456
Mailing address
2001 BEVERLY BLVD STE 201, LOS ANGELES, CA 90057-2400
(213) 413-1622
(213) 413-5456
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
190210CN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190210CN
CERTIFICATION FROM CALIFORNIA STATE ALCOHOL AND DRUG PROGRAMS
CA
Enumeration date
04/30/2008
Last updated
04/30/2008
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