Individual
MR. CARLOS ISAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
771 W ORANGETHORPE AVE, FULLERTON, CA 92832-2806
(714) 879-0929
Mailing address
771 W ORANGETHORPE AVE, FULLERTON, CA 92832-2806
(714) 879-0929
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C051400318
CA
Other
Enumeration date
10/20/2006
Last updated
11/30/2020
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