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General NPI Number Information
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NPI Number | 1902778723
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Entity Type | Organization
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Legal Business Name | SUBSTANCE USE DISORDER INTEGRATED SERVICES
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 2051 MARENGO ST
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City | LOS ANGELES
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State | CA
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Zip | 90033-1352
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Country | US
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Telephone | 888-783-4752
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 526
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City | WHITTIER
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State | CA
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Zip | 90608-0526
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Country | US
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Telephone | 888-783-4752
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Fax |
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Authorized Official
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Title or Position | PATIENT CARE COORDINATOR
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Name | SYLVIA MEZA
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Credential |
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Telephone | 408-661-6078
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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 |
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License Number State |
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