Individual
ALBERT REZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
332 N 18TH ST, MONTEBELLO, CA 90640-3908
(323) 274-6263
Mailing address
332 N 18TH ST, MONTEBELLO, CA 90640-3908
(323) 274-6263
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5981-R
CA
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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