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NPI Code Detail

MEDICARE: LOS ANGELES CENTER FOR ALCOHOL AND DRUG ABUSE

MEDICARE: LOS ANGELES CENTER FOR ALCOHOL AND DRUG ABUSE
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
1171M00000XCase Manager/Care Coordinator
2261QR0405XSubstance Use Disorder Rehabilitation Clinic/CenterCA

General Provider Information

NPI Number : 1700383270
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOS ANGELES CENTER FOR ALCOHOL AND DRUG ABUSE
Provider Business Mailing Address
First Line : 11015 BLOOMFIELD AVE
Second Line :
City : SANTA FE SPRINGS
State : CA
Zip : 90670-4601
Country : US
Telephone Number : 562-906-2686
Fax Number :
Provider Business Practice Location Address
First Line : 5861 CHERRY AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90805-4405
Country : US
Telephone Number : 562-676-4256
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. JUAN NAVARRO
Credential :
Telephone Number : 562-906-2686
Provider Enumeration Date : 04/10/2018
Last Update Date : 12/31/2025

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Directions to “LOS ANGELES CENTER FOR ALCOHOL AND DRUG ABUSE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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