| Substance Abuse Specialist Inc. | |
|
14515 Hamlin St Van Nuys CA 91411-1608 | |
| (323) 387-2405 | |
| (323) 727-0284 |
| Full Name | Substance Abuse Specialist Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 14515 Hamlin St, Van Nuys, California |
| Authorized Official Name and Position | Oscar De La O (CEO) |
| Authorized Official Contact | 2132803805 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Substance Abuse Specialist Inc. 14515 Hamlin St Van Nuys CA 91411-1608 Ph: (323) 387-2405 | Substance Abuse Specialist Inc. 14515 Hamlin St Van Nuys CA 91411-1608 Ph: (323) 387-2405 |
| NPI Number | 1053617241 |
|---|---|
| Provider Enumeration Date | 02/04/2011 |
| Last Update Date | 02/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053617241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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