Organization
CALIFORNIA HISPANIC COMMISSION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RON LEE JR. CLINICAL SUPERVISOR (MANAGER)
(714) 531-4624
Entity
Organization
Contact information
Practice address
9842 13TH ST, SUITE B, GARDEN GROVE, CA 92844-3171
(714) 531-4624
(714) 531-1189
Mailing address
9842 13TH ST, SUITE B, GARDEN GROVE, CA 92844-3171
(714) 531-4624
(714) 531-1189
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300010N
CA
Other
Enumeration date
02/04/2013
Last updated
02/04/2013
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