Organization
CHACH MEDICAL AID
Active
Other names
Chach Medical Aid
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TEDDY IDEHEN BSC (EXECUTIVE DIRECTOR)
(310) 675-7892
Entity
Organization
Contact information
Practice address
11633 HAWTHORNE BLVD STE 215, HAWTHORNE, CA 90250-2322
(310) 675-7892
Mailing address
11633 HAWTHORNE BLVD STE 215, HAWTHORNE, CA 90250-2322
(310) 675-7892
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RI-I0509270844
CA
Other
Enumeration date
04/19/2007
Last updated
08/22/2020
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