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1568706885 NPI number — WEST COAST COUNSELING SERVICES INC DBA WEST COAST COUNSELING CENTER

NPI Number: 1568706885
Health Care Provider/Practitioner: WEST COAST COUNSELING SERVICES INC DBA WEST COAST COUNSELING CENTER

Information about “1568706885” NPI (WEST COAST COUNSELING SERVICES INC DBA WEST COAST COUNSELING CENTER) exists in 1568706885 in HTML format HTML  |  1568706885 in plain Text format TXT  |  1568706885 in PDF (Portable Document Format) PDF  |  1568706885 in an XML format XML  formats.

NPI Number : 1568706885 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1568706885",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "WEST COAST COUNSELING SERVICES INC DBA WEST COAST COUNSELING CENTER",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "481 W WILLOW ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LONG BEACH",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90806-2843",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "562-424-6531",
    "MailingAddressFaxNumber": "562-424-5071",
    "FirstLinePracticeLocationAddress": "2600 W COMPTON BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COMPTON",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90220-1324",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "562-424-6531",
    "PracticeLocationAddressFaxNumber": "562-424-5071",
    "EnumerationDate": "11/27/2012",
    "LastUpdateDate": "04/12/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CANNON",
    "AuthorizedOfficialFirstName": "LOU",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "562-424-6531",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251K00000X",
        "TaxonomyName": "Public Health or Welfare Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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