Organization
CALIFORNIA HEALTH, ALCOHOL &. DRUG EDUCATION PROGRAM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE C. NZE (EXECUTIVE DIRECTOR)
(951) 833-8426
Entity
Organization
Contact information
Practice address
3756 SANTA ROSALIA DR. STE. 423, LOS ANGELES, CA 90008-3614
(323) 294-7662
(323) 294-7703
Mailing address
3756 SANTA ROSALIA DR. STE. 423, LOS ANGELES, CA 90008-3614
(323) 294-7662
(323) 294-7703
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2737106
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
197015000
MEDI-CAL
CA
Enumeration date
04/23/2007
Last updated
11/30/2012
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