Organization
BEIT HILLEL SOBRIETY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EZRA HUBER (CEO)
(424) 426-7285
Entity
Organization
Contact information
Practice address
1436 S LA CIENEGA BLVD STE 208A, LOS ANGELES, CA 90035-3761
(424) 426-7285
Mailing address
1436 S LA CIENEGA BLVD STE 208A, LOS ANGELES, CA 90035-3761
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558892760
—
CA
Enumeration date
03/21/2017
Last updated
03/16/2023
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