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General NPI Number Information
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NPI Number | 1710107594
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Entity Type | Organization
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Legal Business Name | ASSISTANCE LEAGUE OF SOUTHERN CA
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 40 N ALTADENA DR
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City | PASADENA
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State | CA
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Zip | 91107-3386
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Country | US
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Telephone | 626-395-9307
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Fax | 626-395-9310
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Provider Business Mailing Address
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Address Line | 40 N ALTADENA DR
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City | PASADENA
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State | CA
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Zip | 91107-3386
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Country | US
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Telephone | 626-395-9307
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Fax | 626-395-9310
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Authorized Official
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Title or Position | PRGRAM COORDINATOR
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Name | MR. JONATHAN MECIAS
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Credential | BA.
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Telephone | 626-395-9307
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 245-0811-1
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | CA
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