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NPI Code Detail

MEDICARE: LOS ANGELES CENTERS FOR ALCOHOL AND DRUG ABUSE

MEDICARE: LOS ANGELES CENTERS FOR ALCOHOL AND DRUG ABUSE
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
1171M00000XCase Manager/Care Coordinator
2261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number : 1962988287
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOS ANGELES CENTERS FOR ALCOHOL AND DRUG ABUSE
Provider Business Mailing Address
First Line : 12070 TELEGRAPH RD STE 207
Second Line :
City : SANTA FE SPRINGS
State : CA
Zip : 90670-8213
Country : US
Telephone Number : 562-777-7500
Fax Number :
Provider Business Practice Location Address
First Line : 10210 ORR AND DAY RD
Second Line :
City : SANTA FE SPRINGS
State : CA
Zip : 90670-3581
Country : US
Telephone Number : 562-348-0083
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : JUAN NAVARRO
Credential :
Telephone Number : 562-777-7500
Provider Enumeration Date : 07/19/2018
Last Update Date : 12/31/2025

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Practice Location Address:
10210 ORR AND DAY RD
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90670-3581
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Practice Fax:
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1225450463 — ERICK SANTOS
Practice Location Address:
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1023536489 — NORMA S PACHUCA CAT- C1
Practice Location Address:
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90670-3581
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1659853398 — LUCY PALACIOS
Practice Location Address:
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Directions to “LOS ANGELES CENTERS FOR ALCOHOL AND DRUG ABUSE ” Practice Location

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