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NPI Code Detail

MEDICARE: MADISON COMPOS

MEDICARE: MADISON COMPOS
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) Counselor1438190426CA

General Provider Information

NPI Number : 1730010166
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADISON COMPOS
Provider Business Mailing Address
First Line : 223 E ROWLAND ST
Second Line :
City : COVINA
State : CA
Zip : 91723-3147
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 223 E ROWLAND ST
Second Line :
City : COVINA
State : CA
Zip : 91723-3147
Country : US
Telephone Number : 626-332-3145
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2026
Last Update Date : 05/26/2026

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Directions to “ MADISON COMPOS ” Practice Location

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