Organization
CAMBODIAN ASSOCIATION OF AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIMTHAI KUOCH (EXECUTIVE DIRECTOR)
(562) 988-1863
Entity
Organization
Contact information
Practice address
2501 ATLANTIC AVE, LONG BEACH, CA 90806-2708
(562) 424-6105
(562) 427-1678
Mailing address
2390 PACIFIC AVE, LONG BEACH, CA 90806-3051
(562) 988-1863
(562) 988-1475
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
190358AN
CA
Other
Enumeration date
02/21/2013
Last updated
02/21/2013
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