Individual
MR. EDWIN ZELADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1601 E 10TH ST, LONG BEACH, CA 90813-5035
(562) 590-9010
Mailing address
1601 E 10TH ST, LONG BEACH, CA 90813-5035
(562) 590-9010
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
RI-Z1012201538
CA
Other
Enumeration date
02/02/2011
Last updated
02/02/2011
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