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General NPI Number Information
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NPI Number | 1730887050
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Entity Type | Organization
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Legal Business Name | LOS ANGELES CENTER FOR ALCOHOL AND DRUG ABUSE
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Dates
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Enumeration Date | 02/16/2023
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 10924 S MAIN ST
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City | LOS ANGELES
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State | CA
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Zip | 90061-2028
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Country | US
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Telephone | 323-880-8159
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Fax |
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Provider Business Mailing Address
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Address Line | 12070 TELEGRAPH RD
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City | SANTA FE SPRINGS
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State | CA
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Zip | 90670-3771
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JUAN M NAVARRO
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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