| East La Family Recovery Center | |
|
4065 Whittier Blvd Suite 202-203 Los Angeles CA 90023-2556 | |
| (323) 269-4890 | |
| (323) 269-1852 |
| Full Name | East La Family Recovery Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4065 Whittier Blvd, Los Angeles, California |
| Authorized Official Name and Position | Teri Cannon (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Contact | 3106799126 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East La Family Recovery Center 15519 Crenshaw Blvd Gardena CA 90249-4525 Ph: (310) 679-9126 | East La Family Recovery Center 4065 Whittier Blvd Suite 202-203 Los Angeles CA 90023-2556 Ph: (323) 269-4890 |
| NPI Number | 1992835706 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992835706 | NPI | - | NPPES |
| 190007NN | Other | CA | ALCOHOL DRUG CERTIFICATIO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 190007NN (California) | Primary |
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