MEDICARE: HELPING HANDS REHABILITATION CLINIC

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	:	1740723006
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HELPING HANDS REHABILITATION CLINIC

Provider Business Mailing Address
First Line	:	1776 N HIGHLAND AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90028-4404
Country	:	US
Telephone Number	:	213-479-0900
Fax Number	:

Provider Business Practice Location Address
First Line	:	1776 N HIGHLAND AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90028-4404
Country	:	US
Telephone Number	:	213-479-0900
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	DAVID YOUNG
Credential	:
Telephone Number	:	310-343-8684

Provider Enumeration Date	:	11/18/2016
Last Update Date	:	02/13/2024

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