Healthcare Provider Details

I. General information

NPI: 1326181264
Provider Name (Legal Business Name): NARCOTICS PREVENTION ASSOCIATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2007
Last Update Date: 09/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

942 S ATLANTIC BLVD
LOS ANGELES CA
90022-4004
US

IV. Provider business mailing address

942 S ATLANTIC BLVD
LOS ANGELES CA
90022-4004
US

V. Phone/Fax

Practice location:
  • Phone: 323-263-9700
  • Fax: 323-263-8042
Mailing address:
  • Phone: 323-263-9700
  • Fax: 323-263-8042

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number1913
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License NumberCMM70059F
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number19013
License Number StateCA

VIII. Authorized Official

Name: LUIS CANO MONTES
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 323-263-9700