| Dui | |
|
13205 South St Cerritos CA 90703-7307 | |
| (562) 402-2466 | |
| (562) 402-8077 |
| Full Name | Dui |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 13205 South St, Cerritos, California |
| Authorized Official Name and Position | Veronica Lara (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2132590963 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dui 11500 Paramount Blvd Downey CA 90241-4530 Ph: (562) 923-4545 | Dui 13205 South St Cerritos CA 90703-7307 Ph: (562) 402-2466 |
| NPI Number | 1639259765 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 09/28/2020 |
| Certification Date | 09/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639259765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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