Organization
LIFE QUESTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TS RAJAN (MEDICAL DIRECTOR)
(818) 284-7464
Entity
Organization
Contact information
Practice address
1315 BULLIS RD, #16, COMPTON, CA 90221-1652
(818) 284-7464
Mailing address
1315 BULLIS RD, #16, COMPTON, CA 90221-1652
(818) 284-7464
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
A26101
CA
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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