Individual
CEASAR CORONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7101 BAIRD AVE, RESEDA, CA 91335-4150
(818) 342-5897
(818) 975-5008
Mailing address
6819 HINDS AVE, NORTH HOLLYWOOD, CA 91605-6009
(818) 342-5897
(818) 975-5008
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
B00002281221
CA
172V00000X
Community Health Worker
—
—
Other
Enumeration date
11/05/2014
Last updated
06/02/2023
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