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General NPI Number Information
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NPI Number | 1518871367
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Entity Type | Organization
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Legal Business Name | LOS ANGELES CENTERS FOR ALCOHOL AND DRUG ABUSE
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 1700 ZONAL AVE
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City | LOS ANGELES
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State | CA
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Zip | 90033-1045
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Country | US
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Telephone | 562-777-7500
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Fax | 562-777-7510
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Provider Business Mailing Address
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Address Line | 12070 TELEGRAPH RD STE 207
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City | SANTA FE SPRINGS
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State | CA
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Zip | 90670-8213
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Country | US
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Telephone | 562-777-7500
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Fax | 562-777-7510
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Authorized Official
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Title or Position | DIRECTOR OF ADMINISTRATION
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Name | CONNIE REYNOSA
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Credential |
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Telephone | 562-777-7500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | NULL
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