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Mr. Miguel Enrique Gallarzo
Addiction (Substance Use Disorder) Counselor in Los Angeles, California
NPI 1275889586

Miguel Enrique Gallarzo is an Addiction (Substance Use Disorder) Counselor based in Los Angeles, CA and is specialized in Addiction (Substance Use Disorder). Miguel Enrique Gallarzo practices in Los Angeles, CA. The NPI Number for Miguel Enrique Gallarzo is 1275889586 and holds a License No. (California).

The current practice location address for Miguel Enrique Gallarzo is 5801 E Beverly Blvd, Los Angeles, CA and can be reached out via phone at 323-722-4529 and via fax at 323-722-4450.

Location: 5801 E Beverly Blvd, Los Angeles, CA, 90022-2805
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Provider Profile Details
NPI Number
1275889586
Provider Name
Miguel Enrique Gallarzo
Credential
Provider Entity Type
Individual
Gender
Male
Address
5801 E Beverly Blvd, Los Angeles, CA, 90022-2805
Phone Number
323-722-4529
Fax Number
323-722-4450
Provider Enumeration Date
07/24/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02768010 01 CA DRUG MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
5801 E Beverly Blvd
City
State
Zip
90022-2805
Phone Number
323-722-4529
Fax Number
323-722-4450
person
Provider Business Mailing Address Details
Address
5801 E Beverly Blvd
City
State
Zip
90022-2805
Phone Number
323-722-4529
Fax Number
323-722-4450
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
(California)
Definition
Definition to come...
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