Individual
BRITTON DERBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MFTI
Contact information
Practice address
6708 MELROSE AVE, LOS ANGELES, CA 90038-3412
(323) 528-0961
Mailing address
6708 MELROSE AVE, LOS ANGELES, CA 90038-3412
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
324500000X
CA
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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