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DUAL DIAGNOSIS ASSESSMENT AND TREATMENT CENTER INC. NPI 1124347406


NPI Information

NPI: 1124347406
Provider Name: DUAL DIAGNOSIS ASSESSMENT AND TREATMENT CENTER, INC.
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
2265 E 103RD ST
LOS ANGELES, CA
ZIP 90002
Phone: (310) 590-4537
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DUAL DIAGNOSIS ASSESSMENT AND TREATMENT CENTER, INC. is a health service clinic center in Los Angeles, CA. DUAL DIAGNOSIS ASSESSMENT AND TREATMENT CENTER, INC. NPI is 1124347406. The provider is registered as an organization entity type.

The provider's business location address is:

2265 E 103RD ST
LOS ANGELES, CA
ZIP 90002-132
Phone: (310) 590-4537
Fax: (310) 590-4538

The provider's authorized official is Edna Miller .
The authorized official title is Director and has the following contact phone number (310) 590-4537.

The enumeration date for this NPI number is 5/25/2010 and was last updated on 5/25/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QH0100XClinic/CenterHealth ServiceYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CMM71096FOTHERCALIFORNIAMEDI-CAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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