La Jolla Addiction Healing Center | |
9834 Genesee Avenue Suite 427 La Jolla CA 92037 | |
(858) 454-4357 | |
(858) 291-8611 |
Full Name | La Jolla Addiction Healing Center |
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Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 9834 Genesee Avenue, La Jolla, California |
Authorized Official Name and Position | Kamran Zafar (CEO) |
Authorized Official Contact | 8587757752 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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La Jolla Addiction Healing Center 7590 Fay Avenue Suite 401 La Jolla CA 92037 Ph: (858) 454-4357 | La Jolla Addiction Healing Center 9834 Genesee Avenue Suite 427 La Jolla CA 92037 Ph: (858) 454-4357 |
NPI Number | 1558860726 |
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Provider Enumeration Date | 02/02/2018 |
Last Update Date | 02/02/2018 |
Identifier | Type | State | Issuer |
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1558860726 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 370165AP (California) | Primary |
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