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NPI Code Detail

MEDICARE: ALANA VENEGAS SUDRC I

MEDICARE: ALANA VENEGAS SUDRC I
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
1101YA0400XAddiction (Substance Use Disorder) Counselor24089CA

General Provider Information

NPI Number : 1376408302
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALANA VENEGAS SUDRC I
Provider Business Mailing Address
First Line : 12070 TELEGRAPH RD
Second Line :
City : SANTA FE SPRINGS
State : CA
Zip : 90670-3771
Country : US
Telephone Number : 562-777-7500
Fax Number :
Provider Business Practice Location Address
First Line : 9300 SANTA FE SPRINGS RD
Second Line :
City : SANTA FE SPRINGS
State : CA
Zip : 90670-2621
Country : US
Telephone Number : 562-273-0462
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2025
Last Update Date : 12/22/2025

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Directions to “ ALANA VENEGAS SUDRC I” Practice Location

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