DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KIM LONG CADCA

MEDICARE: KIM LONG CADCA
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) Counselor18570206CA

General Provider Information

NPI Number : 1376895664
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIM LONG CADCA
Provider Business Mailing Address
First Line : 11027 BURBANK BLVD
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91601-2431
Country : US
Telephone Number : 818-985-8323
Fax Number : 818-985-4297
Provider Business Practice Location Address
First Line : 8330 LANKERSHIM BLVD
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91605-1615
Country : US
Telephone Number : 818-994-7454
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2012
Last Update Date : 07/25/2019

Similar Medicare Providers

1780521989 — MR. EDWARD THOMAS KASKY
Practice Location Address:
8330 LANKERSHIM BLVD
NORTH HOLLYWOOD, CA
91605-1615
Practice Phone: 818-252-1400
Practice Fax:
1568595387 — MRS. GINA MICHELLE GALPERSON
Practice Location Address:
8330 LANKERSHIM BLVD
NORTH HOLLYWOOD, CA
91605-1615
Practice Phone: 818-252-1400
Practice Fax: 189-985-4297
1730493164 — MS. NICOLE DENISE LACOMBE L.V.N.
Practice Location Address:
8330 LANKERSHIM BLVD
NORTH HOLLYWOOD, CA
91605-1615
Practice Phone: 818-222-1400
Practice Fax:
1336497452 — CRI-HELP, INC.
Practice Location Address:
8330 LANKERSHIM BLVD
NORTH HOLLYWOOD, CA
91605-1615
Practice Phone: 818-985-8323
Practice Fax: 818-985-4297
1689063646 — MS. JANE EDITH WILSON
Practice Location Address:
8330 LANKERSHIM BLVD
NORTH HOLLYWOOD, CA
91605-1615
Practice Phone: 818-994-7454
Practice Fax:
1770964801 — SHARON SHEPHERD
Practice Location Address:
8330 LANKERSHIM BLVD
NORTH HOLLYWOOD, CA
91605-1615
Practice Phone: 818-252-1400
Practice Fax:

Directions to “ KIM LONG CADCA” 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.