| La Jolla Addiction Healing Center | |
|
7590 Fay Ave Ste 404 La Jolla CA 92037-4872 | |
| (858) 775-7752 | |
| Not Available |
| Full Name | La Jolla Addiction Healing Center |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 7590 Fay Ave Ste 404, La Jolla, California |
| Authorized Official Name and Position | Kamran Zafar (PRESIDENT) |
| Authorized Official Contact | 8587757752 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Jolla Addiction Healing Center 7590 Fay Ave Ste 404 La Jolla CA 92037-4872 Ph: (858) 775-7752 | La Jolla Addiction Healing Center 7590 Fay Ave Ste 404 La Jolla CA 92037-4872 Ph: (858) 775-7752 |
| NPI Number | 1093177099 |
|---|---|
| Provider Enumeration Date | 03/28/2016 |
| Last Update Date | 09/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093177099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 18549404 (California) | Primary |
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