Organization
CALIFORNIA HISPANIC COMMISSION A & D ABUSE
Active
Organization
CALIFORNIA HISPANIC COMMISSION A & D ABUSE
Active
Other names
California Hispanic Commission
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL CAMPBELL (PROJECT DIRECTOR)
(562) 942-9625
Entity
Organization
Contact information
Practice address
9033 WASHINGTON BLVD, PICO RIVERA, CA 90660
(562) 942-9625
(562) 942-9695
Mailing address
5101 E. FLORENCE AVE., SUITE 9, BELL, CA 90201-3801
(323) 560-8847
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
CA
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7767A
MEDI-CAL PROVIDER NUMBER
CA
Enumeration date
09/12/2008
Last updated
05/30/2012
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