Lacada | |
12425 Mapledale St Norwalk CA 90650-6027 | |
(562) 818-8310 | |
Not Available |
Full Name | Lacada |
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Speciality | Community/behavioral Health |
Location | 12425 Mapledale St, Norwalk, California |
Authorized Official Name and Position | Robert Anthony Marquez (COUNSELOR) |
Authorized Official Contact | 5628188310 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lacada 12425 Mapledale St Norwalk CA 90650-6027 Ph: (562) 818-8310 | Lacada 12425 Mapledale St Norwalk CA 90650-6027 Ph: (562) 818-8310 |
NPI Number | 1194944082 |
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Provider Enumeration Date | 04/25/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194944082 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | RS8143 (California) | Primary |
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