MEDICARE: LITTLE HOUSE OUTPATIENT

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	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1497638597
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LITTLE HOUSE OUTPATIENT

Provider Business Mailing Address
First Line	:	9718 HARVARD ST
Second Line	:
City	:	BELLFLOWER
State	:	CA
Zip	:	90706-3635
Country	:	US
Telephone Number	:	562-925-2777
Fax Number	:

Provider Business Practice Location Address
First Line	:	9928 FLOWER ST STE 101
Second Line	:
City	:	BELLFLOWER
State	:	CA
Zip	:	90706-5472
Country	:	US
Telephone Number	:	562-533-4532
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	SAMANTHA HELENA SALMERON
Credential	:	CADC
Telephone Number	:	562-925-2777

Provider Enumeration Date	:	07/28/2025
Last Update Date	:	07/28/2025

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Directions to “LITTLE HOUSE OUTPATIENT ” Practice Location

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