| Southern California Drug Diversion | |
|
2370 W Carson St Ste 136 Torrance CA 90501-7114 | |
| (310) 328-0780 | |
| (310) 328-0785 |
| Full Name | Southern California Drug Diversion |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2370 W Carson St Ste 136, Torrance, California |
| Authorized Official Name and Position | Samantha L Lyttle (PROGRAM DIRECTOR) |
| Authorized Official Contact | 3103280780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern California Drug Diversion 2370 W Carson St Ste 136 Torrance CA 90501-7114 Ph: (310) 328-0780 | Southern California Drug Diversion 2370 W Carson St Ste 136 Torrance CA 90501-7114 Ph: (310) 328-0780 |
| NPI Number | 1033422563 |
|---|---|
| Provider Enumeration Date | 07/26/2010 |
| Last Update Date | 07/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033422563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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