MEDICARE: MR. LOUIE JOSEPH DE LA CRUZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1194857706
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. LOUIE JOSEPH DE LA CRUZ

Provider Business Mailing Address
First Line	:	6231 ECHO ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90042-3615
Country	:	US
Telephone Number	:	323-982-0310
Fax Number	:

Provider Business Practice Location Address
First Line	:	4920 AVALON BLVD
Second Line	:	BAART CLINIC
City	:	LOS ANGELES
State	:	CA
Zip	:	90011-4004
Country	:	US
Telephone Number	:	323-235-5035
Fax Number	:	323-235-2023

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1851439053 — BAART BEHAVIORAL HEALTH SERVICES, INC.
Practice Location Address:

4920 AVALON BLVD
LOS ANGELES, CA
90011-4004

Practice Phone: 323-235-5035
Practice Fax: 323-235-2023

1326186529 — ADDICTION RESEARCH AND TREATMENT, INC
Practice Location Address:

4920 AVALON BLVD
LOS ANGELES, CA
90011-4004

Practice Phone: 323-235-5035
Practice Fax: 323-235-2023

1699807297 — MRS. MAHSHID MOHTASHAM-REAVES
Practice Location Address:

4920 AVALON BLVD , BAART CLINIC
LOS ANGELES, CA
90011-4004

Practice Phone: 323-235-5035
Practice Fax: 323-230-2023

1811107246 — MISS ABIGAIL CLARE SANDICO M.A. IN PROGRESS
Practice Location Address:

4920 AVALON BLVD
LOS ANGELES, CA
90011-4004

Practice Phone: 323-235-5035
Practice Fax:

1073711867 — MRS. PATRICIA ANN WILLIAMS
Practice Location Address:

4920 AVALON BLVD , BAART
LOS ANGELES, CA
90011-4004

Practice Phone: 323-235-5035
Practice Fax: 323-235-2023

1376742189 — MS. DIANA LAYNE WHITE
Practice Location Address:

4920 AVALON BLVD , BAART
LOS ANGELES, CA
90011-4004

Practice Phone: 323-235-5035
Practice Fax: 323-235-2023

Directions to “ MR. LOUIE JOSEPH DE LA CRUZ ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.