| D.b.a. L.a County Outpatient Program | |
|
2680 Saturn Ave Suite 180 Huntington Park CA 90255 | |
| (323) 589-5880 | |
| (323) 589-5886 |
| Full Name | D.b.a. L.a County Outpatient Program |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2680 Saturn Ave, Huntington Park, California |
| Authorized Official Name and Position | Maria Delfina Cruz (PROGRAM DIRECTOR) |
| Authorized Official Contact | 3235895880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| D.b.a. L.a County Outpatient Program 2680 Saturn Ave Suite 180 Huntington Park CA 90255 Ph: (323) 589-5880 | D.b.a. L.a County Outpatient Program 2680 Saturn Ave Suite 180 Huntington Park CA 90255 Ph: (323) 589-5880 |
| NPI Number | 1710159470 |
|---|---|
| Provider Enumeration Date | 04/01/2008 |
| Last Update Date | 02/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710159470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 190528AP (California) | Primary |
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