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NPI Code Detail

MEDICARE: JOHNATHAN MATTHEW RIEHLMAN CADC-II

MEDICARE: JOHNATHAN MATTHEW RIEHLMAN CADC-II
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorA054410325CA

General Provider Information

NPI Number : 1689262032
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHNATHAN MATTHEW RIEHLMAN CADC-II
Provider Business Mailing Address
First Line : 2621 UNIVERSITY AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92104-2809
Country : US
Telephone Number : 619-239-7370
Fax Number :
Provider Business Practice Location Address
First Line : 1530 DALE ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92102-1519
Country : US
Telephone Number : 619-915-5710
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/31/2020
Last Update Date : 03/26/2026

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