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CALIFORNIA DRUG TREATMENT PROGRAM INC. NPI 1376761361


NPI Information

NPI: 1376761361
Provider Name: CALIFORNIA DRUG TREATMENT PROGRAM, INC.
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
915 W WASHINGTON BLVD
SUITE B
LOS ANGELES, CA
ZIP 90015
Phone: (213) 747-0054
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CALIFORNIA DRUG TREATMENT PROGRAM, INC. is a rehabilitation and substance use disorder clinic center in Los Angeles, CA. CALIFORNIA DRUG TREATMENT PROGRAM, INC. NPI is 1376761361. The provider is registered as an organization entity type.

The provider's business location address is:

915 W WASHINGTON BLVD
SUITE B
LOS ANGELES, CA
ZIP 90015-311
Phone: (213) 747-0054
Fax: (213) 747-9515

The provider's authorized official is Osayande Aghazebamwan .
The authorized official title is Ceo and has the following contact phone number (213) 747-0054.

The enumeration date for this NPI number is 4/23/2007 and was last updated on 8/22/2020.


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
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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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