| Plaza Community Services | |
|
4018 City Terrace Dr Los Angeles CA 90063-1242 | |
| (323) 267-9749 | |
| (323) 267-0375 |
| Full Name | Plaza Community Services |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 4018 City Terrace Dr, Los Angeles, California |
| Authorized Official Name and Position | Gabriel Buelna (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3232679749 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plaza Community Services 4018 City Terrace Dr Los Angeles CA 90063-1242 Ph: (323) 267-9749 | Plaza Community Services 4018 City Terrace Dr Los Angeles CA 90063-1242 Ph: (323) 267-9749 |
| NPI Number | 1255630810 |
|---|---|
| Provider Enumeration Date | 03/22/2011 |
| Last Update Date | 03/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255630810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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