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Individual

BERTHA CERDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5723 WHITTIER BLVD, LOS ANGELES, CA 90022-4222
(323) 721-6855
(323) 721-8631
Mailing address
5723 WHITTIER BLVD, LOS ANGELES, CA 90022-4222
(323) 721-6855
(323) 721-8631

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
006132124
AOD
CA
01
104532
AOD
CA
Enumeration date
04/11/2013
Last updated
04/11/2013
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