Ismael Vidrio Ii, SUDRC #18885 - Counselor in La Mirada, CA

Ismael Vidrio Ii, SUDRC #18885 is a Counselor - Addiction (substance Use Disorder) based in La Mirada, California. Ismael Vidrio Ii is licensed to practice in California (license number 18885) and his current practice location is 13106 Woodridge Ave, La Mirada, California. He can be reached at his office (for appointments etc.) via phone at (562) 455-5251.

NPI number for Ismael Vidrio Ii is 1730910696 and his current mailing address is 13106 Woodridge Ave, La Mirada, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1730910696.

Contact Information

Ismael Vidrio Ii, SUDRC #18885
13106 Woodridge Ave,
La Mirada, CA 90638-1755
(562) 455-5251
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameIsmael Vidrio Ii
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location13106 Woodridge Ave, La Mirada, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1730910696
  • Provider Enumeration Date: 08/12/2024
  • Last Update Date: 08/12/2024

Medical Identifiers

Medical identifiers for Ismael Vidrio Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730910696NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 18885 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ismael Vidrio Ii is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ismael Vidrio Ii, SUDRC #18885
13106 Woodridge Ave,
La Mirada, CA 90638-1755

Ph: (562) 455-5251
Ismael Vidrio Ii, SUDRC #18885
13106 Woodridge Ave,
La Mirada, CA 90638-1755

Ph: (562) 455-5251

Reviews and Comments


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