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NPI Code Detail

MEDICARE: PACIFIC ASIAN COUNSELING SERVICES

MEDICARE: PACIFIC ASIAN COUNSELING SERVICES
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1578605127
Entity Type Code : Organization
Provider Name (Legal Business Name) : PACIFIC ASIAN COUNSELING SERVICES
Provider Business Mailing Address
First Line : 8616 LA TIJERA BLVD STE 200
Second Line :
City : LOS ANGELES
State : CA
Zip : 90045-3945
Country : US
Telephone Number : 310-337-1550
Fax Number : 310-337-2805
Provider Business Practice Location Address
First Line : 8616 LA TIJERA BLVD STE 200
Second Line :
City : LOS ANGELES
State : CA
Zip : 90045-3945
Country : US
Telephone Number : 310-337-1550
Fax Number : 310-337-2805
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. MYRON D QUON
Credential : ESQ.
Telephone Number : 310-337-1550
Provider Enumeration Date : 02/12/2007
Last Update Date : 10/05/2022

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Directions to “PACIFIC ASIAN COUNSELING SERVICES ” Practice Location

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