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Organization

AEGIS MEDICAL SYSTEMS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CINDY JOO YOUNG LEE M.A. (COUNSELOR)
(562) 946-1587
Entity
Organization

Contact information

Practice address
7256 REMMET AVE, CANOGA PARK, CA 91303
(818) 206-0360
(818) 206-0370
Mailing address
14240 IMPERIAL HWY, LA MIRADA, CA 90638-1940
(562) 946-1587
(562) 946-5740

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19-053
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
19-053
NTP
CA
Enumeration date
07/26/2012
Last updated
07/26/2012
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